NYC Regional - 2025 | REGISTRATION Form

2025 NYC REGIONAL

Registration
DATE: September 20th

TIME: 10 AM - 1 PM

LOCATION: Life Together Fellowship, 2347 Lafayette Ave, Bronx, NY 10473
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Will your spouse be joining us?

YesNo
Please let us know of any food allergies or dietary restrictions.
Spouse's Name

First NameLast Name
Spouse's Email*
example@example.com
Spouse's Phone Number
Should be Empty:

2025 NYC REGIONAL