HS Youth Students
Student Contact Info
First Name
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Last Name
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Address
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Student Cell Number
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Home Phone Number
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Student Email
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Do you have Facebook?
Parent Information
Father's Name
Your answer
Mother's Name
Your answer
Guardian Name
Your answer
Parent Email
Your answer
Student Information
Gender
Required
Birthday (mm/dd/year)
Your answer
Grade (as of September 2016)
School
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Church
Required
If you attend Northview, what service do you attend?
Have you been baptized? Date?
Your answer
Medical Conditions/Food Allergies
Let us know if there any conditions we should be aware of, if not, just say "none".
Your answer
Are you serving anywhere at Northview? Which Ministry? OR Would you like to learn about how you can serve?
Your answer
Notes/Comments
Anything else you want us to know about? Any special talents?
Your answer
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