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Junior-High School Ministry - Registration
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* Indicates required question
Participant Information
First Name
*
Your answer
Last Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Grade in school
*
Choose
6
7
8
Other
Phone (Area code first)
Your answer
Email
Your answer
Parents Information
Parent 1 First and Last name
*
Your answer
Church member?
*
Choose
Not a member
Member of Bryte church
Member of another church
Phone (Area code first)
*
Your answer
Email
Your answer
Parent 2 First and Last Name
Your answer
Church member?
Choose
Not a member
Member of Bryte church
Member of another church
Phone (Area code first)
Your answer
Email
Your answer
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