OCCEC Youth Fellowship Registration
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Student First and Last Name *
Student Cell  (xxx) xxx-xxxx *
Birthday: MM/DD/YYYY *
Student email address *
baptized? *
School attending *
Year graduate from High School *
Parents/ Guardian Name  *
Parents/Guardian (xxx) xxx-xxxx *
Parents/Guardian email address *
Parent attend OCCEC fellowship? *
Hobbies & talents
Volunteering preference: elementary, praise, audio, media, etc.,
Submit
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