Magic Mountain Adult Consent Form
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DIOCESE OF SAN BERNARDINO YOUTH MINISTRY ACTIVITY INFORMATION FORM
Parish: St. Margaret Mary & Our Lady of Lourdes
Date of Activity: Adult Coordinator: Judy Simon Destination: Time of Departure: Estimated Time of Return: " Reasons for Activity: # $ # % !& Means of Transportation: ' Cost per Adult: ()) & ( Youth Needs to Bring:
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* !
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$ +
Please return forms to either church or hand it to Judy Simon by June 22, 2006 St. Margaret Mary Church Amplify Christ Youth Group 12686 Central Avenue Chino, CA 91710 Name of Participant: Daytime phone: Cell phone: Email Address:
Our Lady of Lourdes Amplify Christ Youth Group 10191 Central Avenue Montclair, CA 91763
Parish: St. Margaret Mary & Our Lady of Lourdes
Date of Activity: Adult Coordinator: Judy Simon Destination: Time of Departure: Estimated Time of Return: " Reasons for Activity: # $ # % !& Means of Transportation: ' Cost per Adult: ()) & ( Youth Needs to Bring:
!
!
! !
* !
!
!
!
$ +
Please return forms to either church or hand it to Judy Simon by June 22, 2006 St. Margaret Mary Church Amplify Christ Youth Group 12686 Central Avenue Chino, CA 91710 Name of Participant: Daytime phone: Cell phone: Email Address:
Our Lady of Lourdes Amplify Christ Youth Group 10191 Central Avenue Montclair, CA 91763
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