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Youth Group: King's Dominion

Thursday, July 8, 2021
9:00 AM 8:00 PM

Whole Word Fellowship 10922 Vale Road Oakton, VA, 22124 United States (map)

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Youth Group: King’s Dominion Outing

Thursday, July 8

Deadline: Sunday, July 4
Cost: $55 (admission + lunch)
Chaperone opportunities available

King's Dominion

Parent Name

First Name

Last Name

Phone

(###)

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Child Name

First Name

Last Name

Age

Child 2 Name

First Name

Last Name

Age

Child 3 Name

First Name

Last Name

Age

As the parent or legal guardian of my children I hereby consent for my child(ren) to attend the King's Dominion trip and participate in the activities

Electronic Signature

Chaperone

Name

First Name

Last Name

Phone

(###)

###

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Vehicle

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Youth Group: King's Dominion

Youth Group: King’s Dominion Outing

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