Marriage & Family Conference 2025 Registration Form | March 14-15
Please fill out the form to register for the church conference.
Please fill out ALL applicable information in this form
Upon the completion of this form you will be redirected to our giving page where you must enter in the correct payment amount for registration to be complete and valid.
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Adult Attendee Information (If applicable)
Please list all names
Your Name
First Name
Last Name
Additional Adult Attendee Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
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Youth Attendee Name (Ages 11-17) (If Applicable)
Your Name
First Name
Last Name
Additional Youth Attendee #1
First Name
Last Name
Additional Youth Attendee #2
First Name
Last Name
Additional Youth Attendee #3
First Name
Last Name
Additional Youth Attendee #4
First Name
Last Name
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Child Attendee Name (Ages 5-10) (If Applicable)
If you use all the name blocks in this section
Child Attendee Name #1
First Name
Last Name
Child Attendee Name #2
First Name
Last Name
Child Attendee Name #3
First Name
Last Name
Please list the names of any additional children attendees (ie. John Doe, Little Susie)
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Childcare Registration (Only ages 0-4) (If Applicable)
Childcare limited please fill out the following information below
Child #1
First Name
Last Name
Child #2
First Name
Last Name
Child #3
First Name
Last Name
Child #4
First Name
Last Name
Emergency Contact Information
Please enter a valid phone number.
Please list any allergies (food/other)
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Select the box on the left hand side of registration type, then click the dropdown box to enter the "Quantity"
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( X )
Adult Attendee Registration
18 and Older
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Youth Attendee Registration
11-17 years old
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Children Attendee Registration (Ages 5-10)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
4 & Under Childcare Registration
Choose this option if you need childcare
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
STOP!- 1) Click Submit and you will be redirected to the payment page.
2) Enter in the TOTAL Registration Costs based off the registration options you selected. Here's an example (i.e. 2x Adults=$30.00)
Here's an example (i.e. 2x Adults=$30.00)
Registration is INVALID until payment is complete on our giving page (will be redirected after you click 'Submit.'
THANK YOU!
Submit
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