JHC 2021 Counselor Application: General Info

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Thank you for taking the time to complete your online application! Please make sure all of your info is correct before submitting and submit your Registration only once.

See the Registration Checklist on the website.

First Name *

Last Name *

Date of Birth (mm/dd/yyyy) *

YYYY

Preferred Email *

Phone Number *

Grade in Fall '21 *

Mailing Address *

Best way to contact you *

E-mail

Phone

Home Church *

Preferred grade to counsel (1st choice) *

Incoming 6th grade

Incoming 7th grade

Incoming 8th grade

Incoming 9th grade

Preferred grade to counsel (2nd choice) *

Incoming 6th grade

Incoming 7th grade

Incoming 8th grade

Incoming 9th grade

Preferred grade to counsel (3rd choice) *

Incoming 6th grade

Incoming 7th grade

Incoming 8th grade

Incoming 9th grade

T-Shirt Size (adult sizes) *

XXL

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