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| Student Information |
| (Please PRINT and use black or blue ink.) |
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| Name _______________________________ Age ______ Grade ______ |
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| Phone (_____) ______ - _________ |
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| Mailing Address:_______________________________________________________ |
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| City: _______________________ State: _________ Zip: ____________ |
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| Complete only if a school group is entering FZ 2000+® Program: |
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| Person to contact as group leader: |
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| Mr./Mrs./Miss: ________________________Title: __________________ |
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| School Name & Address: _________________________________________________________________________ |
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| q Please send me more brochures to give to my friends. |
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| Direct your email to: FaithZone2000@cfaith.com or for ministry information www.soffy.org |
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| …Above all taking the Shield of Faith! Ephesians 6:16 |
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