Registration for Teens Walk for Teens Walk-A-Thon
Personal Information
Name
Address
City
State
ZIP
Date of Birth
January
February
March
April
May
June
July
August
September
October
November
December
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2
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7
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13
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15
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23
24
25
26
27
28
29
30
31
Age on Walk Day
Gender
Male
Female
Daytime Phone #
Evening Phone #
Email Address
Church
Pastor
Youth Pastor
School
Shirt Size
Small (S)
Medium (M)
Large (L)
Extra-Large (XL)
Extra-Extra Large (XXL)
Would You Like To Encourage Other People?
Check The Areas That You Would Like To Present In:
Teen Speaker
Dance Team
Human Video
Poetry Reading (original piece)
Share Your Testimony
Drama
Song
Mime
Photography/Video
Other
Would You Like To Be a Volunteer On The Day Of The Event?
Check The Areas That You Would Like To Volunteer In:
Adult Speaker
Intercessor
Photography/Video
Performer (Song/Dance/Mime/Drama)
Share Your Testimony
Volunteer On Day Of Event
Other
