Midwest Conference 2024
Registration Form
የአጥቢያ ቤተ ክርስቲያን (Church Affiliation)
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Please Select
Ethiopian Christians Fellowship Church in Houston
Ethiopian Evangelical Church in Dallas
Ethiopian Evangelical Church in Minnesota
Ethiopian Evangelical Baptist Church of Irving
The Redeemer of the World Evangelical Church
Ethiopian Christians Fellowship Church in Kansas
Rehoboth Ethiopian Evangelical Church in Oklahoma
Ethiopian Evangelical Church in Austin Texas
Ethiopian Evangelical Church in Allen Texas
El Shaddai International Church in Kansas
Other
ሙሉ ሥም (Full Name)
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First Name
Last Name
ፆታ (Gender)
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Please Select
ሴት (Female)
ወንድ (Male)
የተወለዱበት ቀን (Date of Birth)
*
-
Month
-
Day
Year
Date
የስልክ ቁጥር (Phone Number)
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ኢሜይል(E-mail)
example@example.com
ከእርስዎ ጋር አብረው የሚመጡ አሉ? (Do you have company?)
*
አዎን አሉ (Yes)
የሉም (No)
ከእርስዎ ጋር የሚመጡ ዝርዝር (Name of individuals coming with you)
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Payment Information
ክፍያ (Fee)
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ከስምንት ዓመት በላይ(Ages 8+)
Dorm + Meal
$
161.00
Quantity
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ልጆች (Children) 3 - 7
Dorm + Meal
$
83.00
Quantity
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2
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8
9
10
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20
ሕፃናት (Children) 0-2
$
Free
Quantity
1
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10
Credit Card
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