WIN THE CITY

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YOUTH CONFERENCE

Pre-Registration Form

Youth First Name

Age

Youth Last Name

T-shirt Size

Parent(s) / Guardian(s) First & Last Name

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Parent / Guardian Phone Number

Parent / Guardian Email

ABOUT US

To know God's GRACE and

to show God's GRACE

CONTACT

1-702-998-4128

6037 South Rainbow Boulevard

Las Vegas, NV 89119

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