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First Name
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Last Name
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Current grade/year in school (2021-22 school year)
Your answer
Cell phone number (if you have one)
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Your e-mail address (make sure to double check you type it in correctly)
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Birth date
MM
/
DD
/
YYYY
School
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Street Address (# and street only) (example: 714 Date Ave)
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City (of your address)
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Zip (of your address if you know it)
Your answer
Father's first and last name
Your answer
Father's contact phone number
Your answer
Father's e-mail (if you know it)
Your answer
Mother's first and last name
Your answer
Mother's contact phone number
Your answer
Mother's e-mail (if you know it)
Your answer
Do you consider yourself Christian?
Yes
No
Other:
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Have you been baptized?
Yes
No
Maybe
Other:
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Describe your faith journey as of late in a few sentences or short paragraph
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