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Williamsport, PA

October 21 & 22

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* 1. Will you be attending this event?

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* 2. I will need child care (ages 0-6)

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* 3. Contact information

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* 4. I am a youth participant, age:

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* 5. What congregation do you attend? Please include church name & city 

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* 6. I am ( Mark all that apply)

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* 7. I will be attending the following events (check all that apply)

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* 10. Name of Participants other than myself that I am registering: (If they have a different email than you, please include their email so that we may forward them the link.)

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* 11. To pay for registrations:

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* 12. To determine your registration cost:
$50X (number of ”in person” registered + $35X (number of virtual registered)=Total
Please put your calculated total owed here:

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