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## {{gotrip.tripName}}

Patricia Parker | Step 1 of 6

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First Name
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Update information for your household, which includes:
Tate Lucas, Christy Lucas, Sadie Lucas, Simon Lucas

3727 Hyde Park Ave, Cincinnati, OH 45209
(513) 258-5827
Crossroads Oakley

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Trip Information
T-shirt Size
Scrub Size Only required for Topsy trips
How did you hear about this trip? Program Info Session Friend/Family Website Other
Please describe any medical condition(s) that may affect your ability to participate in this trip Leave blank if it doesn't apply
Vegetarian? If you mark yes we will do our best to provide vegetarian meals during the trip Yes No
Please describe all food allergies Leave blank if it doesn't apply</small</label>
How would you define your spiritual life? Pick as many as you like
Searching for answers
I have received Jesus
Focusing on obedience - I've quit negotiating with God
I'm actively replicating my faith in others
Tell us why you want to go on this trip
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