Transportation, food & lodging just $75 | Financial scholarships available, ask Mac for info

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** limited space available - only space for 8 boys and 8 girls **
if unable to submit then email Zach or Mac to join waitlist

(zmeneses@htlenexa.org, mkaminski@htlenexa.org)

Participant Information

I am currently a...
*

Freshman

Sophomore

Junior

Senior

Last Name *

First Name *

Sex *

DOB (MM/DD/YYYY) *

tshirt *

School *

I will pay $75 *

Venmo htparish

Check to parish office

Student's Cell (913.888.7777)

Mom's Name *

Dad's Name *

Address 1 *

City *

State *

Zip *

Home Phone (i.e. 913.888.7777) *

Mom's Cell *

Dad's Cell

Home Parish *

Updates will be sent via email.

Parent's Email Address *

Teen's Email