Birmingham, SE Alabama, & North Central Alabama 2022 Annual Conference Registration Form

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Birmingham, SE Alabama, & North Central Alabama 2022 Annual Conference Registration Form

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Name *

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Address *

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City/State/Zip *

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Email *

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Church *

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Region *

Birmingham

SE Alabama

North Central Alabama

2022 Fifth Episcopal District Annual Conference Child/Youth Pre-Registration Form

Only Fill This Part Out If You Are Registering Children For This Conference

Church Name

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Region

Birmingham

SE Alabama

North Central Alabama

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Child(ren)'s Name/Gender/Age 12 & Under Only

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Youth's Name/Gender/Age 13-18 Only

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