SURVIVOR ISLAND 2025

Friday July 11- Sunday July 13 | Join us for Survivor Island!

Student Name

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RPCYouth House

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I'm not in one yet and can't wait to be initiated! Acadia (Green) Denali (Black) Redwood (Red) Sequoia (Blue) Yellowstone (Yellow)

Grade ('25-'26 school year)

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7th 8th 9th 10th 11th 12th graduated Senior

T-Shirt Size (adult sizes only)

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X-Small Small Medium Large X-Large 2X-Large

Email

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Phone

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Payment $110.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Friday July 11- Sunday July 13

Join us for Survivor Island!

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