Date: Friday, April 5 - Sunday, April 7

Departure Time: Friday @ 6:00 PM
(Dinner served at 5:30 PM)

Arrival Time: Sunday @ 3:00 PM

Location: Tuscarora Inn & Conference Center |
3300 River Rd, Mt Bethel, PA 18343

Fee: TBA

Student #1 Name

First Name

Last Name

Phone # / Parent Phone #

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Student #2 Name

First Name

Last Name

Student #3 Name

First Name

Last Name