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1
Student Name
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First Name
Last Name
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2
Additional Student Name
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3
Additional Student Name
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4
Additional Student Name
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5
Parent/Guardian Name
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6
Parent/Guardian Phone Number
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7
What grade is your student going into?
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4th
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Graduating
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8
Will your student(s) be staying for the all-nighter?
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Only available to youth students
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9
Medical information
Please add any allergies (Including food), medical information, diagnosis, or special needs. This helps us protect, accommodate, and support everyone :)
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10
Signature
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I give my student(s) permission to attend Level Up Next-Gen Night and participate in all activities, which will include an all-nighter and pool party for youth students in grades 6-12, on August 28th-29th, 2026, and will not hold FOC, its staff, or volunteers responsible for any accidental injury that my student(s) may sustain.
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