Winter Break 2022 Registration Form

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Below you will find the registration form for this years Winter Break!

If you have any question please feel free to email: Jeph Chavez at jephc@echohillschurch or Mark Brewster at markbrewster@gmail.com

Email *

Saturday, January 29 - 9AM-3PM at Echo Hills Church, Lewiston

Senior/Lead Pastor Name (First, Last) *

Spouse's Name (First, Last)

Name and address of the Church you Pastor *

Email Address - best email to receive updates *

Phone Number - best number to reach you *

Childcare (Nursery to High School)

We are able to provide childcare for children between the ages of 1year old to high schoolers. Please only register your child/children for childcare if you are certain they will be in attendance with you. If your plans change please let us know. Thank you! Children Check-In will begin at 8:45AM at Echo Hills Church. We will provide lunch and snacks.

Child #1 - Name (First, Last) and Age

Child #2 - Name (First, Last) and Age

More Children

If you need to register more children please list them here. Names (First, Last) and Ages

Registration Payment - $25 *

Mailed check made out to "Cyrus Fund" to 3215 Echo Hills Dr, Lewiston, Idaho 83501

Pay at Door

Send me a copy of my responses.

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