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Summit View Church 7701 NE 182nd Ave Vancouver, WA 98682 (360) 2608300 www.summitview.net Fusion Registration and Medical Release Form JULY 2729, 2012 PARTICIPANT INFORMATION: Name (of child): Sex:
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02
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Provide any additional contact information requested, such as emergency contact details.
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Who needs fusion-release-form1 - summit view:
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Participants attending the fusion summit event.
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Individuals who will be engaging in activities or using facilities provided by the fusion summit organizers.
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