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Deen4Teens - Character Building
Registration for Online Sessions - Boys & Girls
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* Indicates required question
Email
*
Your email
Student's Name
*
Your answer
Gender
*
Female
Male
Age (10 - 17 Yrs)
*
Your answer
Contact Number
*
Your answer
Parent's Full Name (Mother/Father)
*
Your answer
Parent's Contact Number
*
Your answer
Parent's Email Address
*
Your answer
Please use the below Payment Options to Complete the Registration.
Registration is confirmed ONLY upon successful Payment.
Payment Options ($99 for 13 Weeks Session)
*
Pay Via Paypal @
https://www.paypal.com/donate?hosted_button_id=FG567FVKKTLU6
Venmo
Zelle to
info@childrenofadam.us
Paypal
A copy of your responses will be emailed to the address you provided.
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