Junior Leadership Registration 2025
For Youth Ages 10 and up
Email *
First Name *
Last Name *
Age *
Date of Birth *
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Sex *
Street Address (with apt # if applicable) *
City *
Zip Code *
Name of Good News Club (if attended in 2025)
School *
Grade (this fall) *
Church (if able to attend)
Do you have any food allergies? (Please list, or answer "none".) *
List any special needs, such as ADD, Autism, Anxiety, Physical Limitations, etc.  (Please list, or answer "none".)
 *
Is this your first time attending Junior Leadership Training? *
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