Summer Community Health Expo
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Connecting Health with Gospel
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What Is Health Redone?
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Health Expo
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Application
June 3- August 9, 2018
Name
Address
Address Line 2
City
Email
Cell Phone Number
Alternate Phone
How did you hear about Health Redone?
Age
Younger than 16
16-17
18 or older
Are you member of the Seventh-Day Adventist Church?
Yes
No
Name of Church & Location
Pastor
Why would you like to join Health Redone this summer?
Reference Name
Reference Email
Reference Phone
I hereby certify that all of the information on this application and any resume or exhibit is true, correct and complete.
Yes
No
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