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The Challenge

Registration is online! Contact 228-702-2142 or email pblanchard@biloxidiocese.org for more information!
Registration
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- Participant First Name REQUIRED Please fill out this field. Please enter valid data.
- Participant Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parent First Name REQUIRED Please fill out this field. Please enter valid data.
- Parent Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Parent Email REQUIRED Please fill out this field. Please enter an email address.
- Parent Contact Number REQUIRED Please fill out this field. Please enter a phone number.
- Participant Cell Phone (if available) Please enter a phone number.
- Gender REQUIRED Please fill out this field.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Participant Parish REQUIRED Please fill out this field. Please enter valid data.
- Participant School REQUIRED Please fill out this field. Please enter valid data.
- Would you be interested in chaperoning on this trip? REQUIRED Please fill out this field.
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