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Update Your Contact Information

We want to make sure we have all of your contact information so we can let you know about all the great upcoming events! To update your contact informaton, fill in the form below and then click the Submit Form button.


 

First Name:    Last Name:
Address:
City:   State:   Zip:

Student Email Address:  
Student Grade :
Discussion Group Leader:

Phone:       Cell Phone:
Birthday:  

Reason for updating:
New Attendee               New Address          New Phone         New Email   
Received a letter/email request

    

Prior Lake Campus: 17741 Fairlawn Avenue, Prior Lake, MN 55372     -      Shakopee Campus: 12800 Marystown Road, Shakopee, MN 55379
Phone: 952-447-8282 - Fax: 952-447-8223 [ Map ]   -    the Webmaster  -  Sitemap

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