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IceBlast 2015 Jan. 23-25 Scholarship Application Please return this form to Christ The Rock Community Church Attn Alyssa Williams All scholarship forms are due before you sign up for IceBlast and no later than January 4th You will be notified concerning the scholarship soon after we have received the form. Student Information Name Grade circle one 6 7 9 10 11 Address City Zip Code Phone Parent Information Marital Status MarriedSingleWidowedDivorced Number of people in your household Dad...

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