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Get Happening #87 Staff Application - The Episcopal Diocese Of Kansas - Episcopal-ks

, KS 66202 Payment due upon registration. Make checks payable to Episcopal Diocese of Kansas *Payment/Registration received after Nov. 3 will be required to pay a $10 late fee. Full Name (please print) Name you would like to appear on your name tag: Gender Date of Birth Male Female Grade in School (2012-13) Street Address City, State, Zip code Youth Mobile Phone # YES! I would like to receive text alerts about diocesan youth events. Please indicate your mobile phone carrier.

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