Student Registration - Due 7/29/2018
Fill this form out COMPLETELY and ACCURATELY to get an awesome and FREE SNY T-shirt!

PLEASE DOUBLECHECK SPELLING.

*** The first email is where we will send the confirmation email ***

Email address *
Student Information
First Name *
(Ex: John)
Your answer
Last Name *
(Ex: Smith)
Your answer
Korean Name (if you have one)
(Please answer in Korean. Ex: 박철수)
Your answer
Grade *
Gender *
Which house church are you in? *
Birthday *
MM
/
DD
/
YYYY
Cellphone # *
(Input with dashes. Ex: 832-123-4567)
Your answer
E-mail Address *
Student's email
Your answer
T-Shirt Size *
School District *
School *
(Please write out the name of your school name in full. Ex: Memorial High School, NOT MHS)
Your answer
Home Address Number *
(Ex: 123)
Your answer
Street *
(Ex: Green Duck Dr)
Your answer
City *
Zip Code *
(Ex: 77055)
Your answer
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