Name: Summer River Canoe Trips
Start: 2021-06-13T18:00:00+00:00
End: 2021-06-13T21:00:00+00:00

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How many children will be participating in the program?*
How many adults will be participating in the program (including teachers, chaperones, and school staff)?*
Choice of Program(s)*
Preferred Date 1*
MM slash DD slash YYYY
Preferred Date 2*
MM slash DD slash YYYY
Preferred Date 3*
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Name of School/Organization*
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How many adults will be participating in the program (including teachers)?*
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Do you have any topics of interest that you would like us to focus on?*
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