2016-2017 Young Life Club Card
Contact information
First Name
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Last Name
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Street Address
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Apartment Number (if you have one)
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City
Your Cell Phone Number
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Zip Code
Parent(s) or Legal Guardian(s) Name(s)
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Parent or Legal Guardian Cell Phone Number
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Your School
High School Graduation Year
Your email
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Your parents email
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Tell us any sports or clubs or other cool things you are involved with
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