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Attendee Information
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First Name
Last Name
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Example: 2019

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Emergency Contact Information
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First Name
Last Name

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Payment/Miscellaneous Information
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The total cost of the trip is $150. An initial $50 deposit is required by February 9, 2020. A second deposit of $50 is required by March 1, 2020. Please pay the remaining $50 by March 8, 2020. Email Sr. Leandra (lkosmoski@ur.rochester.edu) if you have any questions or require a scholarship.