Chaplain Competition (Individual Ritual)
**DEADLINE 1/31/2019**

Email address *
2019 Chairman - Mary Halterman
Please refer to Rules & Guidelines for complete instructions
First Name *
Your answer
Last Name *
Your answer
Bethel Number *
Your answer
Age at Jobie Weekend 2019 *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Daughter email Address *
Your answer
Daughter Phone Number *
Your answer
Novice or Veteran *
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