College Ministry
Christ the Lord's College Ministry will be using the information provided in this form to keep in touch with college-age students that are members of the church. Please fill out the form below if you are the college student or the parent of the college student from Christ the Lord.
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First Name *
Last Name *
Street Address 1 *
Street Address 2
City *
State *
Zip Code *
College/University/Post secondary institution (if not part of address)
Email Address *
Birthdate (month/year) *
Favorite restaurant(s)/stores (select all that apply) *
Parent(s) Name *
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