Marriage Conference Registration
Evening of Sept. 9; all day Sept 10; and Sunday morning, Sept. 11. Please note that lunch and snacks/coffee are provided Saturday. Lunch and snacks will be provided in childcare as well.
Full Name
*
First Name
Last Name
Spouse's Name
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Number of people attending
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you need childcare for children ages 0 - 11?
Yes
No
If you need childcare, please list the names, ages, and any allergies of the children who will be in childcare.
Payments are processed through Square. You may pay using any major credit card / debit card.
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Conference Registration and Meal for 2
$
50.00
Conference Registration and Meal for 1
$
25.00
Total
$
0.00
Credit Card
Register
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