JA Youth Ministry Teen Info Sheet

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Please take a moment to fill out this form. All information sent here is secure. This information will help us contact you about important events and get to know you better. Please fill it out and send it back to us. Thanks!

Name *

What is your mailing address?

What is your e-mail address?

What is your cell phone number?

Do you use Text Messaging?

Yes

What is your birthday *

What grade are you in? *

What is your T-Shirt Size?

This helps us when we order retreat shirts

Do you use facebook?

Yes

I have a facebook profile...but I never check it!

Do you use Twitter?

Yes

I have a twitter profile...but I never check it!

Do you use Instagram?

Yes

I have an instagram profile...but I never check it!

Is there anything you need us to pray about for you this year?

Are there any events or ideas you want us to think about for the youth ministry this year?

Is there anything you want us to learn in Bible Classes this year?

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