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Tienerkerk 2022 Registrasie
Hierdie is die registrasielys vir Moederkerk Stellenbosch se Tienerbediening: Graad 7-12 en Belydenisklas (Graad 11)
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* Indicates required question
Naam
*
Volle naam
Your answer
Van
*
Net jou van
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Noemnaam
Indien anders as volle naam
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Geboortedatum
*
MM
/
DD
/
YYYY
Geslag
*
Manlik
Vroulik
Graad
*
Choose
7
8
9
10
11 (Belydenis)
12
Selfoonnommer
Indien van toepassing (Slegs nommers, geen spasies. Laat asb oop indien n.v.t.)
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Skool
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Naam van Ouer
*
Your answer
Kontak Nommer
*
Verkieslik selfoon (sonder spasies)
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E-Pos adres
*
Your answer
Naam van Ouer
Tweede ouer
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Kontak Nommer
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E-pos Adres
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Wil jy deel word van jeug leierskap?
Ja
Nee
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