Clothed with Power! Workshop Youth Registration Form

Clothed with Power! Workshop Registration for Youth (Ages 13-18)

Youth ages 13-18 years old may attend the Workshop but must be accompanied at all times by a parent or adult guardian. There will be no youth or children ministries available at this year's Workshop.

Youth Information:

First Name(*)

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Last Name(*)

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Age(*)

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Language Literacy of Youth(*)

English

Spanish

Bi-Lingual

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Religious Denomination(*)

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Parent/Adult Guardian Information:

First Name(*)

Please let us know your name.

Last Name(*)

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Street Address(*)

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Street Address 2

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City(*)

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State(*)

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Zip Code(*)

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Country(*)

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Cell Phone(*)

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Home Phone

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Email(*)

Please let us know your email address.

Captcha(*)

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