Crews — Radical Youth

bekah sylvia

MIDDLE SCHOOL GIRLS

thursday nights from 5:45pm to 6:45pm.

Bekah's Crew

Name

First Name

Last Name

Email Address

Grade

Phone

(###)

###

####

Bri Thissell

HIGH SCHOOL GIRLS

Thursday Nights from 6:30pm to 8:00pM.

Bri's Crew

Name

First Name

Last Name

Grade

Email Address

Phone

(###)

###

####

chris Betourney

HIGH SCHOOL GUYS

Monday nights from 7:00pm to 8:00pm

Chris's Form

Name

First Name

Last Name

Email Address

Grade

Phone

(###)

###

####

dylan Medeiros

HIGH SCHOOL GUYS

Monday nights from 7:00pm to 8:00pm.

Dylan's Crew

Name

First Name

Last Name

Grade

Email Address

Phone

(###)

###

####

IRENE RAPOSA

HIGH SCHOOL GIRLS

Thursday nights from 6:30pm to 7:30pm.

Irene's Crew

Name

First Name

Last Name

Grade

9th 10th 11th 12th

Email Address

Phone

(###)

###

####

josh bañez

MIDDLE SCHOOL GUYS

mondays from 5:30pm to 6:30pm.

Josh's Crew

Name

First Name

Last Name

Email Address

Grade

Phone

(###)

###

####

katie meneely

HIGH SCHOOL GIRLS

Wednesdays from 4:30pm to 5:30pm.

Katie's Form

Name

First Name

Last Name

Email Address

Grade

Phone

(###)

###

####

PAM KONESKI

MIDDLE SCHOOL GIRLS

TUESDAYS FROM 4:00-5:00.

Pam's Crew

Name

First Name

Last Name

Email Address

Grade

Phone Number

(###)

###

####

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Join A Crew

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Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Who is your current Crew Leader?

First Name

Last Name

What type of Crew do you want to start?

Are you able to offer transportation?

Yes

What is your preferred location?

Address of preferred location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your preferred day to meet?

What is your preferred day to start?

YYYY

Do you have a co-leader in mind?

First Name

Last Name

Have you been water baptized?

Yes

Briefly explain your reasons for wanting to become a Crew Leader.

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