Fill out the form so we know you're coming!

First Name *

Last Name *

List any other additional adults coming from your household.

Phone *

Email *

What church/organization are you affiliated with (if applicable?)

Dietary Restrictions?

CHILDCARE:

Do you need childcare?
If yes, how many kids?
Ages of kids?

Enter your card information below. The conference costs $25/household and $10/student. *

$ 10

$ 25

Other amount

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