412 Student Conference - Church Group Registration

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October 9-10 at FBC Haughton. Cost per student is $100 and adults cost is half price at $50. That includes access to the Main Sessions, Breakout Sessions, Concert with Rhett Walker and all meals (Sunday Dinner, Monday Breakfast, Lunch, and Dinner).

Email *

Church Name *

Church Phone Number *

Group Leader's Name (First & Last) *

Group Leader’s Phone Number *

Group Leader’s Email Address *

How many students are you registering for? (Best guess, so we can plan accordingly) *

How many adults are you registering for? (Best guess, so we can plan accordingly) *

How would you like to pay for your group? (Cost is $100 per student and $50 per adult)

Check (We will send you the mailing address)

Online (We will send a payment link)

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A copy of your responses will be emailed to the address you provided.

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