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CPOP High School Youth 2019-2020
Hi teenagers of CPOP! Thanks for taking the time to fill out this form so that we can stay in touch!
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First Name
*
Your answer
Last Name
*
Your answer
What are you interested in?
Going on a retreat
Helping with middle school retreats
Community Service
Summer activities
Praise and worship nights
Game/sports/activity nights
Bible Study
Other:
Email that you will check and have access to (no cpop school emails please!)
*
Your answer
Cell Phone number
*
Your answer
Birthday
MM
/
DD
/
YYYY
High School
*
Your answer
HS Graduation Year
*
2023 (Freshman)
2022 (Sophomore)
2021 (Junior)
2020 (Senior)
Parent's name
Your answer
Parent's email
Your answer
Parent's cell number
Your answer
Do you have any allergies or things we need to know about?
Your answer
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