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First Name
Last Name
E-mail address
Local Church Involvement (Check all that apply)
Children's Ministries
Youth Ministries
Adult Ministries
Sunday School
Missions
Music(Choir, Worship Team)
Church Board
Council (NYI, NMI, SDMI)
Sports Activities
Evangelism
Celebrat Recovery
Other
District Involvement
NMI Council
NYI Council
SDMI Council
District Advisory Board
Other
The following categories describe me:
Middle School Student
High School Student
College/Graduate Student
25 - 35 Years of Age
36 - 50 Years of Age
Over 50 Years of Age
Retired
Married
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