250-390-2152

Jesus said, "A new command I give you: Love one another.     As I have loved you, so you must love one another."

John 13:34 NIV

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Youth Night Registration Form


2017/18 Sept-June

Wednesdays @ 7:00pm
MARANATHA CHURCH
6553 Portsmouth Rd
Nanaimo, British Columbia
250-390-2152


Sections with a * are mandatory.


AMPLIFY SR. YOUTH (grades 9-12)AWAKEN JR. YOUTH (grades 6-8)

Student Information



 


 

Parent/Guardian #1



Cell

 
Parent/Guardian #2



Cell

 
Additional/Emergency Contact



Cell

 


 

By submitting this form you agree to the following terms and conditions*:


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