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YMCA Winter Warm Up Registration
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Choose
Male
Female
How Many Years have you attended the Sr. High CVC?
*
1
2
3
4
Other:
How Many Years have you attended the Winter Warm Up?
*
0
1
2
3
4
Other:
Delegation
*
Choose
AL - Huntsville
AL - Mobile
AL-Montgomery
AL - Prattville
FL - Orlando
FL - Palm Beach
FL - Ft. Walton
FL - Volusia Flagler
LA - Baton Rouge
LA - New Orleans
MS - Gulf Coast
MS - Vicksburg
OH - Lima
SC - Hartsville
SD - Sioux
TN - Knoxville
TN - Nashville
TX - Houston
OTHER, Not listed
Cell#
Your answer
What area will you serve this year?
*
Adult
CLC
Other:
What is your availability to attend the Christian Values Conference July 14- 18, 2018
*
Choose
I'll be there no matter what
I'll be there if I can get a ride
Doubt it.
No way - can't do it.
Is there anything else you would like to share?
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