Are you a student in between the 7th - 12th grade? If so fill out this form so we get get to know you a little better. The student ministries at Central are just what your looking for. Don\'t forget to mention you filled out the connect card online!

Full Name (*)

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E-mail (*)

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Phone

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Gender (*)
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What grade are you in? (*)
7th Grade8th grade9th Grade10th grade11th grade12th Grade
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Do you currently attend a Youth group?
YesNo
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What hobbies/sports/activities are you interested in?

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Are you in a Youth Cell Group?
YesNo
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All information obtained through this online form is keep confidential and is only used to promote services and programs affiliated with Central Assembly\'s Student Ministry