Faith & Farming Registration Form
Last Registration Day - August 10,2024
Attendee Information
Please fill name and contact information of attendees.
Your Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which days will you be available to join us?
*
August 20
August 21
August 22
I will pay the $25 deposit through:
*
Cash to Rev. Margaret Propp
e-transfer to info@lcmcalgary.com
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Emergency contact
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
*
Please Select
Parent
Partner/Spouse
Family member
Friend
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Allergies and Health information
Do you have any allergies/food restrictions?
*
Will you require any accessibility accommodations, how can we best help?
Submit
Should be Empty: