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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Church/Group Name *

Your answer

Youth Pastor / Parent or Guardian Phone # *

Your answer

Are you a...? *

Student

Leader

Pastor

Pastor's Spouse

Pastor's Child

If a student, what tribe team are you on? *

Choctaw

Cherokee

Sioux

Navajo

Ashanti

Iroquois

Shawnee

Cheyenne

Hopi

Lumbee

Crow

Mohawk

Other:

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