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Life Teen Registration 2017/2018
Looking for Senior Youth registration? By inputting your info below and indicating your Grade 11 or 12, you'll automatically receive updates.
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* Indicates required question
Teen Last Name:
*
Your answer
Teen First Name:
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian First Name:
*
Your answer
Birthdate of teen:
*
MM
/
DD
/
YYYY
School
*
Your answer
Grade in September 2017
*
8
9
10
11
12
Other:
Parent contact email: (to receive Life Teen updates)
*
Your answer
Teen contact email: (to receive Life Teen updates)
Your answer
Home phone number:
*
Your answer
Parent Mobile number:
Your answer
Teen Mobile number:
Your answer
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