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REGISTER A CREW

Name *
Name
Leader Phone # *
Leader Phone #
Co-Leader (If Any)
Co-Leader (If Any)
What day will you meet?
Time *
Time
Address (Where CREW will meet) *
Address (Where CREW will meet)
Age Ranges *
Childcare Provided? *
Handicap Accessible? *
Are You Leading This CREW For Students? *
Are You Leading This CREW With Your Spouse? *
If you are following any curriculum, list that here