Women at Werk

 

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PARTICIPANT REGISTRATION

REGISTRATION FEE IS $55

THIS FEE COVERS PARTICIPATION & OPERATING COSTS

Tell Us More About Your Little Woman at Werk!
Applicant's Name *
Applicant's Name
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Youth Size (Please Select One)
Tell Us More About The Family That Supports Her!
Parent/Guardian 1 *
Parent/Guardian 1
Parent/Guardian 2
Parent/Guardian 2
Address *
Address
Phone *
Phone
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