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CSI Field Trip - 622, 623, Mazzotta Crew

Location: College of Staten Island

Date: Thursday, December 14th, 2023 - Leave at 10:30 AM - Return at 1:30 PM

Cost: $8 - Payment due on or before November 30th.

Student Last Name*

Answer Required

Student First Name*

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Parent/Guardian First Name*

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Parent/Guardian Last Name*

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Parent/Guardian Email Address*

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Parent/Guardian Phone Number*

Number Required

Emergency Contact Name*

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Emergency Contact Email*

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Emergency Contact Phone Number*

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Important medical information that we should know

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I am the Parent or Legal Guardian of the student named and give permission to participate in this field trip.

Field Trip Fee*

Price: $8.00

Confirmation Email

Confirmation Email *

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