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Student Information
2023-2024
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* Indicates required question
I am registering for
(
check all that apply
):
*
Reverb - Middle School (Wednesdays 6:15 pm - 7:45 pm)
Reverb - High School (Wednesdays 6:15 pm - 7:45 pm)
Reverb Discipleship - Middle School (Sundays 8:30 am)
Reverb Discipleship - High School (meets at various times)
I would like more information about joining a Disciplship group.
Required
Student First Name
*
Your answer
Student Last Name
*
Your answer
Grade
*
6
7
8
9
10
11
12
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
City
*
Your answer
Student
Cell Phone# (to receive cancellation/event notices)
Your answer
What school do you attend?
*
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Shell Lake
Spooner
St. Francis
Home School / Charter
Birchwood
Cumberland
Hayward
Minong
Rice Lake
Other
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