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Participation Form
This annual form allows youth full participation in any and all Youth Discipleship programming for 2022. This includes weekly discipleship events, fellowship events, mission and service projects, retreats, camps, and fundraising opportunities.
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* Indicates required question
Email
*
Your email
Participant's Full Name
*
Your answer
Nickname/Preferred Name
Your answer
Participant/Youth Cell Number (xxx) xxx-xxxx
*
If participant does not have a cell phone please put "none."
Your answer
Home Number (xxx) xxx-xxxx
If participant does not have a home phone please put "none."
Your answer
Home Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
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