Shoreline Dallas - Formstack

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Shoreline Small Group Form (Dallas)

Student Name*

First Name

Last Name

Gender*

Male Female

DOB*

Grade (2023-2024)*

What high school do you attend?*

Student Phone Number*

Student Email*

Home Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Parent Name(s)*

Parent Phone Number*

Parent Email*

List any students or leaders at Watermark you would like to be in a Small Group with:

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