Registration for God’s Graffiti fundraiser
Please complete the following registration for our event on Saturday, May 2nd, 2026 at 10:00 am located at Duck Pond Manor in Sparta, TN.
Full Name
*
Prefix
First Name
Last Name
Business Name/Church Name (*For corporate table)
Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Number of people attending from your party:
*
Please Select
1
2
3
4
5
6
7
8
9
10
What are the names of the other guests coming, if selecting a corporate table?
First Name
Last Name
What are the names of the other guests coming, if selecting a corporate table?
First Name
Last Name
What are the names of the other guests coming, if selecting a corporate table?
First Name
Last Name
What are the names of the other guests coming, if selecting a corporate table?
First Name
Last Name
What are the names of the other guests coming, if selecting a corporate table?
First Name
Last Name
What are the names of the other guests coming, if selecting a corporate table?
First Name
Last Name
What are the names of the other guests coming, if selecting a corporate table?
First Name
Last Name
What are the names of the other guests coming, if selecting a corporate table?
First Name
Last Name
What are the names of the other guests coming, if selecting a corporate table?
First Name
Last Name
Any other information (special needs, accommodations, etc.)?
Ticket Selection
*
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( X )
Corporate Table
10 Seats with event recognition
$300.00
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Individual Ticket
1 Seat
$30.00
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
DateTime
Signature
*
By signing this form you authorize payment to God's Graffiti Youth Conference for fundraiser registration.
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