Northern Illinois COGIC Sunday School Pageant

Registration

Are you 12 - 22 with talent and

personality? Are you active in

your local Sunday School?

Complete the registration form

below and submit it. Our Pageant

staff will contact you shortly.

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Contact Information

Full Name: *

(first, middle, last name)

Email:

Home Phone #: *

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Cell Phone #: *

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Address

Street Address

City

Zip

State

Church

Pastor *

Church Name *

District SS Representative *

Parents or Guardians Name *

Parents Home / Cell Phone #:

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