2021 Tri-State Healthy Churches Workshop Registration
Please complete this form to register your attendance to the Workshop.  If multiple people are planning on attending please have each person in your group complete a separate registration form.  
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Name (First, Last) *
Address (Street, City, State, Zip) *
Phone Number *
Email Address *
Do you plan to eat lunch with us at the church building? (Provided by the Goodland church) *
Breakout Session 1: 10:30 - 11:30 (please pick the class you wish to attend during this breakout session) *
Breakout Session 2: 2:00 - 3:00 (please pick the class you wish to attend during this breakout session) *
If your plans change for any reason and you are unable to attend please let us know via email as soon as possible.  (goodlandcoc@gmail.com)
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