Gold Creek Community Church
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Celebration of Life Services
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Application Entry
Added: 4/5/2026
STUDENT INFORMATION
First Name
First Name is required.
Last Name
Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Mobile Phone is required.
Grade
11
12
Graduated Senior
Some College Completed
Grade is required.
Campus
Mill Creek
Monroe
Gold Creek Online
Campus is required.
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