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2024 Springfield Right to Life Respect Life Breakfast Registration
March 16, 2024 8:00 a.m.
Christ the King Parish Center
1930 Barberry Drive
Springfield, IL 62704
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Email
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Your email
What is your first and last name?
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Your answer
What is your phone number?
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The phone number you provide will only be used to contact you regarding this event.
Your answer
Are you hosting a table?
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Table hosts fill a table of 8 guests. If you are interested in hosting a table at no cost to you or your guests, please select yes.
Yes
No
Including yourself, how many guests are you registering?
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If you are hosting a table, select 8 even if you do not have the names of all of your guests ready right now. We will contact you prior to the event to confirm your guests.
1
2
3
4
5
6
7
8
Who will be attending?
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To the person filling out this form, please include your name as Guest 1
Table hosts: please provide all the names you have available at this time. We will follow up with you prior to the event.
GUEST 1 (Your Name/Table Host Name)
Your answer
GUEST 2
Your answer
GUEST 3
Your answer
GUEST 4
Your answer
GUEST 5
Your answer
GUEST 6
Your answer
GUEST 7
Your answer
GUEST 8
Your answer
A copy of your responses will be emailed to the address you provided.
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