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REGENERATE CAMP
GROUP REGISTRATIONS
REGENERATE CAMP
GROUP REGISTRATIONS
Number of Attendees
How many people are you registering (students and adults)?
*
Group Leader Information
Email
*
First Name
*
Last Name
*
Telephone
*
What best describes you?
Part time youth pastor
Full time youth pastor
Volunteer leader
T-Shirt Size
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M
L
XL
XXL
Church Information
Church Name
*
Church Address
*
Church City
*
Church State
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CO
CT
DE
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GA
HI
ID
IL
IN
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KS
KY
LA
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MD
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MO
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ND
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UT
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VA
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Church ZIP Code
*
Church Telephone
*
Church Website
Pastor's Name
Comments
Camp location
Which camp will your group attend?
*
Mission Camp July 2-6, 2012 in Tampa, Florida
Summer Camp July 16-20, 2012 in Mt. Vernon, Georgia
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