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FAYTH Alliance Youth Registration 2022-23
Please fill this form out in it's entirety!! We seek to help our youth know and grow in God's Word, to help them to Pour Into what God has for them, and to know that they Belong!
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* Indicates required question
Email
*
Your email
Student's Full Name
*
Your answer
Student's Age
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10
11
12
13
14
15
16
17
18
19
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's Current Grade
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6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student's Email
*
Your answer
Student's Cell Number (Home Phone Number No Cell)
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Your answer
Student's Home Address (Street, City, State, Zipcode)
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Your answer
Student's: Check All That Apply
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Facebook
Twitter
Instagram
Snapchat
Tiktok
None
Required
Parent(s) or Legal Guardian(s) Name(s) (List All Names)
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Your answer
Mom's Cell Phone Number
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Your answer
Mom's Email
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Your answer
Dad's Cell Phone Number
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Your answer
Dad's Email
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Your answer
Choose Your Preferred FAYTH Family
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Moore FAYTH Family (BLUE)
Dodds FAYTH Family (PURPLE)
Larson FAYTH Family (RED)
Owczarek FAYTH Family (GREEN)
List 2 (TWO) Friends You'd Like To Be Paired With!!!
*
Your answer
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