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First Name Phone Number Age School Attended Legal Guardian First Name Legal Guardian Phone Number Emergency Contact First Name Parent Email Address Last Name Email Grade Completed as of June 2025 Participants Address Legal Guardian Last Name Legal Guardian Email Address Emergency Contact Last Name Health Problems/ Allergies By checking this box, you give consent for your child to be photographed for marketing purposes and to participate in all field trips, without holding VALNNCC or its partners liable.

The registration cost is $50.00 per participant due by money order only by May 30, 2025- Money orders can be brought to 833 Fisherman Lane Edgewood, MD 21040.

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