IIMF Middle School Registration Howell's Pumpkin Patch Field Trip Saturday, October 25, 20259:00 AM - 2:00 PMInnovative Counseling & Consulting (Parking Lot)2340 Euclid Avenue; Des Moines, IA 50310

Student Name

First Name

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Student Phone Number (xxx-xxx-xxxx)

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Parent/Guardian Information

First Name	Last Name
Phone Number (xxx-xxx-xxxx)	Email (noname@noname.com)