KPEJ Open Event Registration
Please complete the following - RSVP Deadline 9/25/2025....
"Celebrating Our Legacy"
Ticket Price: $100.00 Adults | $40.00 Children TIME: 11:00AM
Full Name (Mr. Mrs. Ms. Bishop Pastor etc)
*
Mr.
Mrs.
Ms.
Bishop
Pastor
Elder
Superintendent
Missionary
Deaconess
Deacon
Mother
District Missionary
Sister
Master
Prefix
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Affiliation | Company | Other:
*
Write NONE, if not applicable.
Email:
*
Please write NONE, if it does not apply
Phone Number:
*
Please enter a valid phone number.
KPEJ - District Selection :
*
MEAL SELECTION:
*
EVENT TICKETS - Please list all ticket holder name(s) in COMMENTS
*
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Adult Ticket - List Ticket Holder"s Name in COMMENTS
Per Adult
$
100.00
Quantity
Price
Grilled Chicken
1
2
3
4
5
6
7
8
9
10
$
100.00
Atlantic Salmon
1
2
3
4
5
6
7
8
9
10
$
100.00
Vegetarian
1
2
3
4
5
6
7
8
9
10
$
100.00
Item subtotal:
$
0.00
Children Ticket - List Ticket Holder"s Name in COMMENTS
Ages up to 12 years
$
40.00
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
Please Answer
*
Signature
Comments | Questions | List Name(s) Ticket Holders
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