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* 1. Name

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* 3. Phone number

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* 4. Church Membership

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* 5. Registration cost $20.
which days are you attending?
(check mark all that apply)

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* 6. Which meals will you be eating?
(Check mark all that apply)

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* 7. Lodging Choice: (Please choose one)

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* 8. Please list your roommates if not getting a private room

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