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Church Youth Group Registration Forms
___________________________________
Is your teen on Facebook:
Yes
No
(Circle one)
Parent Information: (please print clearly)
Names _________________________________________
Both Parents live at home: Yes
No
(Circle one)
If not, which parent does the teen primarily live with: _____________________________
(if different from teens or of non-primary parent)
Address: __________________________________________
City, State, Zip: ______________________________________
Phone:...
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