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Day of Discipleship
2012 Site List
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Outreach >  Day of Discipleship >  Registration Form > 

2012 DoD Registration Form

Name
First*
Last*
Email Address*
Phone Number*
Sign me up!
Select one or more options and complete the participant form below
See my project selections below
Put me where I'm needed
Participant information
Select one of the following
I am an individual participantWe are a family participating togetherWe are a family participating in different projects
Please indicate your project choices by project number in order of preference. We will make every effort to give all participants one of their choices. However, spaces are limited and will be filled on a first come/first served basis.
Participant name
First
Last
Age
First Choice Project
Select site from the list below
Second Choice Project
Select site from the list below
Second Participant name
First
Last
Age
First Choice Project
Select site from the list below
Second Choice Project
Select site from the list below
Third Participant name
First
Last
Age
First Choice Project
Select site from the list below
Second Choice Project
Select site from the list below
Fourth Participant name
First
Last
Age
First Choice Project
Select site from the list below
Second Choice Project
Select site from the list below

    
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