2024 HUNGER STRIKE REGISTRATION

Saturday, April 20, 2024 thru Sunday, April 21, 2024 | Join us for a pan-Orthodox Lenten Youth Retreat at
St. Paul's Greek Orthodox Church
4949 Alton Parkway
Irvine, CA 92604
949-733-2366

Parent Name

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Student Name

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Grade Level

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Please select one option.

6th 7th 8th 9th 10th 11th 12th

Tee Shirt Size

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Small Medium Large X-Large XX-Large

2nd Student Name

Grade Level

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6th 7th 8th 9th 10th 11th 12th

Tee Shirt Size

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Small Medium Large X-Large XX-Large

3rd Student Name

Grade Level

Please select one option.

6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Tee Shirt Size

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Email

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Phone

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What Church do you attend?

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Will you be staying the night?

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Yes! Nope

Notes:

$30.00 per person

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

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Description

Saturday, April 20, 2024 thru Sunday, April 21, 2024

Join us for a pan-Orthodox Lenten Youth Retreat at
St. Paul's Greek Orthodox Church
4949 Alton Parkway
Irvine, CA 92604
949-733-2366

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