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Candidate Sign-Up Form
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* Indicates required question
Which event would you like to attend?
*
Chrysalis
Option 2
First and last name:
*
Your answer
Name for nametag:
*
Your answer
Full mailing address:
*
Your answer
Full mailing address:
*
Your answer
Phone #:
*
Your answer
Email:
*
Your answer
Date of Birth:
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Your answer
Gender
*
Male
Female
Non-Binary
Preferred Pronouns:
*
She/Her
He/Him
They/Them
What school do you attend?
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Your answer
What grade are you in?
*
Sophomore
Junior
Senior
Do you attend a youth group? If so, which church?
Your answer
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