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Mid-Atlantic District of The Christian and Missionary Alliance

Please complete the form below to update the current information for the Youth Group of your church.  The information will be submitted to the district office and forwarded to Chris Mercurio, district youth point person. 

Thank you!

Church Information 
Church Name: 
Church City:   State:
 

Group Information
What day of the week does your Youth Group meet? 
What is the average weekly attendance?

Youth Group Leader Information
Last name:
First name: