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RFM Youth Ministry Registration Form
Please complete this form for each child
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* Indicates required question
Email
*
Your email
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Cell Phone Number
*
XXX-XXX-XXXX
Your answer
Full Address
*
1234 Streetname, City, NJ 00000
Your answer
Email Address
*
Your answer
Age Group
*
Primary: Ages 2-6
Primary 2: Ages 7-8
Juniors: Ages 9-12
Teen: 13-18
Are you a member of Ruth Fellowship Ministries?
*
Yes
No
I would like more info on joining
A copy of your responses will be emailed to the address you provided.
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