Beautiful Savior Lock-in (11-12 Aug 2022)
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Participant's Name
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Birthdate
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Grade or Adult
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6th
7th
8th
9th
10th
11th
12th
adult
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6th
7th
8th
9th
10th
11th
12th
adult
Parent's Name
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Phone
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Address
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Email
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This address will receive a confirmation email
If not a member of Our Redeemer, to which church do you belong?
If you do not have a church home, would you like to find out more about Our Redeemer?
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Please select all that apply.
Yes
No
If your child has allergies or other health concerns that we should know about, please fill out the youth medical information form (located on the website: OurRedeemer.life). Thank you.
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