Registration

    I am registering for the*:

    Full Name*:

    Mailing Address*:
    Street/P.O. Box, Apt #, City, State, Zip Code

    Daytime Telephone Number*:

    Email Address*:

    Number in Party*:
    The number of people you are paying for.

    Names of people in your party:*
    List names of people being registered, separated by commas.

    Do you require childcare?*

    How many children will need child care?*
    The cost is $5.00 per child.

    Names of children requiring childcare:*
    List names of children, separated by commas.

    How will you be paying?*

    Are you willing to help with the seminar?*

    In what capacity?

    You may pay for your registration by clicking this link now:

    https://citlchurches.org/donate/

     

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