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Event Registration
Each guest that is 18 & older must complete the following registration form. (Registration is free.)
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* Indicates required question
Event Date Attendance
*
August 27th @ 6:30pm (Worship Night)
August 28th @ 9:00am (Workshop)
Required
Name of Event
*
Choose
Healing Judah
First Name
*
Your answer
Last Name
*
Your answer
Age
*
Your answer
Gender
*
Female
Male
Contact Number
*
Your answer
Email Address
*
Your answer
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