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SECC Minor Master Guide Trainee Consent 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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* Indicates required question
Email
*
Your email
Minor Participant's Name
(First, Middle Initial, Last)
*
Your answer
Parent(s)/Legal Guardian(s) Name(s)
Enter both Parents/Legal Guardians names and include their th relationship to the minor participant.
*
Your answer
Parent(s)/Legal Guardian(s) Primary Address
(Street, City, State, Zip)
*
Your answer
Phone
Please include Cellular and an alternative number, if applicable
*
Your answer
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