Super Training University (STU) with Jesus Student Registration Form
Please provide the information requested below to complete your enrollment in Super Training University! Classes will be held July 22-26, 2019 from 6-8pm at Christ the King UCC (11370 Old Halls Ferry Rd, Florissant, MO 63033).
Email address *
Student First Name *
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Student Last Name *
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Birthday *
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DD
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YYYY
Age *
Your answer
Home Address *
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City
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Zip Code *
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Home Phone *
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Cell Phone *
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Work Phone
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Parent/Guardian(s) Names *
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Parent/Guardian(s) Phone Number *
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Emergency Contact Name and Phone Number *
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Allergies or Other Medical Conditions *
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Family Doctor
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Grade Last Completed *
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Home Church
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Siblings Attending
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Person Who Will Drop Off *
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Person Who Will Pick Up *
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A copy of your responses will be emailed to the address you provided.
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