Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Small Group Leader
*
USC VIP ID
*
USC Email
*
Food allergies
Payment Method ($30)
*
Cash
Venmo (@Carolina-XA)
Card
My Products
*
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Registration
$
30.00
Total
$
0.00
Credit Card
Submit
Should be Empty: