Registration Form – Double

Your full name:

Your email:

Church you attend:

Please note any food allergies or special needs:

Room occupancy: Double - $177.

Roommate request:

(If no names are given, you will be assigned someone.) (Each roommate must register and pay separately.)

After you submit this form you will be redirected to PayPal. Please note, you do not need to have a PayPal Account to make your payment.

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