If you’d like to be a part of the Arise 2019, please complete the form below.

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I Am A: Senior PastorAssociate PastorYouth PastorLay PersonCollege PastorOther

Church Name:

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Senior Pastor's Name:

Church / Sr. Pastor Email:

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*By providing an Email address, I give Teen Challenge of Southern California, Inc. permission to Email me in relation to this event.