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2019 Celebration of Education Registration
Registration deadline: Sunday, June 9, 2019
***All high school and college graduates who would like to have their graduation picture in the program please scan your picture to
MBCEDMIN@GMAIL.COM
***
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* Indicates required question
Email
*
Your email
Student Name
Your answer
Street Address
Your answer
City/State/ Zip Code
Your answer
Phone Number (Best number to contact)
Your answer
Parent/Guardian Name (if student is under 18 years of age)
Your answer
School Name
Your answer
Date of Graduation
Your answer
Email address
Your answer
Please check one of the following
PreK
Kindergarten
Elementary
Middle School
High School
College/University
Graduate School
Post-Graduate
Trade/Vocational
Certification Program
Continuing Student (College Freshman, Sophmore, Junior, etc.)
What degree have you attained?
Your answer
If you are a high school graduate please indicate the name of the college/university that you will be attending.
Your answer
Would you like to use an Education Ministry gown for the Celebration of Education service?
Yes
No
Send me a copy of my responses.
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