JHC 2021 Counselor Application: General Info
Thank you for taking the time to complete your online application! Please make sure all of your info is correct before submitting and submit your Registration only once.

See the Registration Checklist on the website.
First Name *
Last Name *
Date of Birth (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Preferred Email *
Phone Number *
Grade in Fall '21 *
Mailing Address *
Best way to contact you *
Home Church *
Preferred grade to counsel (1st choice) *
Preferred grade to counsel (2nd choice) *
Preferred grade to counsel (3rd choice) *
T-Shirt Size (adult sizes) *
Submit
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