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* 1. Adult Last Name

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* 2. Adult First Name

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* 3. Address

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* 4. The above address is my

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* 5. Church name

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* 6. City of church

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* 7. Are you involved in an on-campus ministry or club?

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* 8. If so, are you a leader?

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* 9. Name of on-campus ministry you are a part of

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* 10. School name

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* 11. City of school

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* 12. Teacher sponsor of club?

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* 13. Time/Day of Christian club meeting

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* 14. Club name

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* 15. Would you like to recieve information about future youth training events?

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* 16. Would you like to recieve information about Biola University and/or it's graduate schools?

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