College-Age Care Package Form — Brentwood Oaks Church of Christ

College-Age Members! We want to send you a care package in October to show you that we love you! Could you please fill out this form so we can send it to the right place?

First Name

Last Name

Cell Phone

(###)

###

####

Birthday

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

High School Graduation Year

College or Workplace

College Major or Career Goal

Food allergies?

How can we pray for you?