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Page 1: Pre registration form

BICOL CHRIST’S YOUNG AMBASSADORSSUMMER YOUTH CAMP 2013

PRE-REGISTRATION FORMCHURCH

ADDRESS

SENIOR PASTOR

CONTACT NUMBER/SEMAIL ADDRESS

TOTAL NUMBER OF CAMPERS

NAME AGE GENDER STATUS

HI

GH

SC

HO

OL

1.

2.

3.4.

5.6.

7.

8.9.

10.11.

12.

13.14.

15.

CO

LL

EG

E

1.2.

3.4.

5.6.

7.8.

9.10.

11.12.

13.14.

15.NAME AGE GENDER STATUS

STATUS:B – BelieverNB – New BelieverUB - Unbeliever

Page 2: Pre registration form

YO

UN

G P

RO

FE

SS

ION

AL

1.

2.3.

4.5.

6.7.

8.9.

10.11.

12.13.

14.15.


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