WOMEN'S RIGHTS NATIONAL HISTORICAL PARK

JUNIOR RANGER PROGRAM: APPLICATION FORM
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NAME:_________________________________________

ADDRESS:_________________________________________________________

HOME PHONE NUMBER:___________________________________

AGE:______                     GRADE:________           SEX:   M   F   (CIRCLE ONE)

SCHOOL:_______________________________________________________

PARENT/GUARDIAN NAME:_______________________________________

EMERGENCY PHONE NUMBER:____________________________________

HOBBIES/INTERESTS:_____________________________________________

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HAVE YOU PARTICIPATED IN THE JR. RANGER PROGRAM IN PREVIOUS
YEARS?   Y    N   (CIRCLE ONE)

REASONS WHY YOU WANT TO BE A JR. RANGER.

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