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Date/Location of Workshop:
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Please provide the following contact information:
Please type the names and ages of those attending under this registration
in the box below.
Include the name of your pastor and church location.
(Only Immediate Family Members can register together.)
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Please list the issues and approximately how long person has had each issue in
the box below.
(Sample: Kate allergic to cats since birth.)
Early registration is $45 per person for the three lessons.
Additional immediate family members $30 per person. Registration at the Door is $60.
After submitting your information, you will be directed to a payment page.
The registration process is successfully completed when you receive a Pay-Pal
confirmation.