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World Deliverance Christian Center World Deliverance Christian Center

Event Signup: Girls Self-Worth Retreat (Jul 20 2018) Event Signup: Girls Self-Worth Retreat (Jul 20 2018)

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Sign up for Girls Self-Worth Retreat - Jul 20 2018
Name of Guardian*
Phone Number of Guardian*
Last Name of Youth*
First Name of Youth*
Phone Number of Youth
Please List Any Information We Need To Know About The Registered Youth
This includes any allergies or food restrictions, etc.
I Understand That a Separate Consent Form Must Be Completed*
All Minors Must Have The Consent of Their Guardian to Register
I Agree to Read and Sign the Consent Form Provided by Youth Pastor McKinnie