Clone of Divinely Chosen 2

Divinely Chosen 3

Please fill out the form carefully for registration
Student Name

First NameLast Name
Birth Date

MonthDayYear
Parent/Guardian Drop off/Pick up Contact
First and Last Name
Parent/Guardian Drop off/Pick up Contact Number
Format: (000) 000-0000.
Parent/Guardian Drop off/Pick up Email Address
example@example.com
Refreshments will be served at the conference. Please list any student allergies we should be aware of:
How did you hear about this event?
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This is a free event. If you would like to make a tax-deductable donation to our 501(c)(3) not-for-profit organization, Divinely Driven Ministry, to assist with ministry costs and future conferences, thank you! Please click here to donate.
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Divinely Chosen 3