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0 1 2 3 4 5 6 7 8 9 10	Ultimate KEFTY/Kol Noar Member Free
0 1 2 3 4 5 6 7 8 9 10	Base KEFTY/Kol Noar Member $5.00 Each
0 1 2 3 4 5 6 7 8 9 10	Non-Youth Group Member $10.00 Each
	Parent First Name Parent Last Name Attendee(s) First and Last Name Mark here to agree to the following conditions: Mark here to agree to the following conditions:I hereby give permission for photographs, videotapes, and audiotapes of my child(ren) to be made during youth group activities and to be used for youth group publicity. * Email
Total	$