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Duc In Altum Registration

*Liability Form Required*

Please email your completed form to Taylor Geiger: tgeiger@gbdioc.org
To register via email or if you have questions, please email Taylor Geiger.
Liability Form
- Download Liability Form
Please Fill Out The Info Below As Well
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- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Parent Information (Name[s], email, and phone number) REQUIRED Please fill out this field.
- High School You Attend REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Current Parish REQUIRED Please fill out this field. Please enter valid data.
- Allergies or Dietary Restrictions? REQUIRED Please fill out this field. Please enter valid data.
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Diocese of Green Bay