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JHM Life Groups Spring Registration on Wednesday, January 16, 2019 @ 7:00 PM

33.00
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You are registering for our 2018-2019 Life Group session. Life Groups will launch on September 26th!
*Student DOB (MM/DD/YYYY):
*Student Gender:
*Student School:
*High School Graduation Year:
Favorite Candy:
Instagram Handle @:
*Parent Name(s):
*Parent E-mail(s):
*Parent Phone Number(s):
*Would you like to host a Life Group in your home this year?:
*Please list any medical conditions, allergies, medications, or special needs. If not applicable, please put N/A:
*What is your t-shirt size?:
*Were you in a Life Group last year?:
*Would you like to change Life Groups this school year?:
If you were in a Life Group list your leaders name(s):
*Friend Requests (3 max). We will do our best:
Preferred life group night(s) (check all that apply)