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2015 RAPPELLING CLINIC REGISTRATION Form NAME BIRTH DATE ADDRESS CITY STATE ZIP CODE PHONE NUMBER () ALTERNATE PHONE () EMAIL ADDRESS COUNCIL DISTRICT PARENT/GUARDIAN (any youth under the age of 18
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The registration form - simon is a document used to collect information about a person or entity named Simon who wishes to register for a particular service or event.
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Any individual or organization with the name Simon who wants to sign up for the service or event is required to file the registration form - simon.
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