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Central Pennsylvania Youth Convention Pre-Registration Form
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For ages 5-23. Fill out and submit this form to receive a free 2020 Youth Convention shirt. Shirts will be given out at the registration desk when you arrive at Youth Convention 2020.
First Name:
*
Your answer
Last Name:
*
Your answer
Age:
*
Choose
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
Gender:
*
Choose
Male
Female
Shirt Size:
*
Choose
Kids - Small
Kids - Medium
Kids - Large
Kids - XL
Adult Small
Adult Medium
Adult Large
Adult XL
Address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip:
*
Your answer
Cell Phone Number:
Your answer
Email Address:
*
Your answer
How many years have you attended Youth Convention?
*
Choose
This is my first year.
1-5
6-10
11-15
Home Church:
*
Your answer
Submit
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