SECC Master Guide Trainee                                  Registration Form
                         Southeastern California Conference of Seventh-day Adventist
                                                 Youth Ministries/Club Ministries
1                                        1330 Pierce Street, Riverside, CA  92505
               Phone:  (951) 509-2265    Email:  seccmasterguidetraining@gmail.com
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Email *
Name  (First, Middle Initial, Last) *
Address: (Street, City, State & Zip Code)
Age  Note anyone under the age of 18 must have Parent/Guardian Consent.  See link below if applicable.
Phone  Please include Cellular and an alternative number, if applicable *
Home Church  Include Church, Club Ministry Affiliation, and Club Director's name, if applicable *
Which SECC Master Guide Training County are you associated with?
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