Please complete this form and someone on the Engage team will be in touch with you.

Please complete this form and someone on the Engage team will be in touch with you.

Name (First and Last)*

I'm filling this form out as a:*

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Church Name*

Church City*

Church State*

Youth Leader Name

Your Email Address*

Your Phone Number*

Can we text?*

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What is the best way to contact you?*

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Your Age*

What Engage locations are you interested in? (Can select multiple)*

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Estimated Group Size*

What is your preferred time of year for your trip? (Can select multiple)

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Did you attend the "So you want to go into ministry" elective at MOVE?

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Parent or Guardian Name

Parent or Guardian Email

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