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Erie, PA
September 25, 2010 |
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Philadelphia, PA
October 23, 2010 |
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Pittsburgh's North Side
September 25, 2010 |
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Pittsburgh's South Hills
October 23, 2010 |
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Hudson, OH
September 25, 2010 |
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Baltimore, MD
October 23, 2010 |
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| Students Name* |
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| Address* |
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| City* |
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| State* |
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| Zip* |
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| Phone Number* |
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| Cell Phone Number |
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| Gender* |
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| High School |
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| Graduation Year* |
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| Possible Major* |
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| Student's E-mail* |
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| Parent's E-mail |
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| Number attending reception* |
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List the names and relationships of those attending with you
(siblings, parents, Geneva alumni, pastors, other): |
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| Are you interested in playing a varsity sport? |
| Yes No |
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| If yes, what sport? |
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* Required Fields |
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