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Christian Youth in Action Registration
Email address *
What chapter of CEF Wyoming are you applying to? *
Last, First Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Gender *
Name of Parents/Guardians: *
Your answer
T-shirt size (Sm, Med, Lg, X-Lg) *
Emergency Contact - *
Your answer
Do you agree with the following statement? *
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WORKERS COMPLINACE AGREEMENT
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