Connection Card
Help us connect you to the Reach Teen Ministry at Creekside Chapel in Allegany, NY by providing the following information:
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Email *
teen or pre-teen name (first & last) *
parent/guardian name(s) *
email contact 2 (optional additional email for parent or teen that you would like to receive teen ministry updates at)
phone contact
grade *
school
birth month & day
t-shirt size
Clear selection
comments/questions/prayer requests
A copy of your responses will be emailed to the address you provided.
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