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TBN Youth Empowerment Program
Our Youth Empowerment Program will take place every 2nd & 4th Saturday at DeFremery Park 12- 4 PM. The goal is to to encourage, excite, and enrich the lives of youth by connecting them with leaders from their community. Please fill out this survey as thoroughly as possible. Upon submission, we will inform you if your application has been approved. Thank you!
Name
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Age
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Gender
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Ethnicity
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Phone Number
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School & Grade
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Hobbies/Interests
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Parent/Guardian Name
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Parent/Guardian Phone Number
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Parent/Guardian Email Address
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Can you commit to two Saturdays per month?
What do you hope to get out of the program?
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How did you hear about this program?
Any questions or comments?
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