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Easy Steps to share your SYATP Story

Instructions
Please remember to report schools individually. A single reporter can report multiple schools. (Complete this form and you will be given an option to resubmit another with your contact information automatically filled in.) Information submitted in this report is confidential and will not be provided to any third party without your permission.
Reporter Information
*First Name:
*Last Name:
*Reporter Mobile Phone #:
*Reporter Email Address:

May we use your name when we tell your story? Yes No

Campus Information
Please report only the number of students at the pole at this location.
*School Name:
*City:
*State:
Type of school: (check all that apply if report covers more than one age group) Elementary Middle/Jr. High High School College
Public, Charter or Private Public Charter Private

SYATP Information
*Student Attendance:
*Adult Attendance:
*Personal stories, anecdotes or results of SYATP at this campus.*
May we have permission to publish your story? Yes No
Is there a commitment to continue to pray for the school after SYATP (adopting the school for prayer)? Yes No
If yes, name of church/ministry/group that is spearheading the ongoing prayer:
Please send me information on how to keep prayer going at my school. Yes No
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