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Hanukkah Worship Week Registration
Registration form for the Hanukkah Worship Week in Patterson, MO
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* Indicates required question
Email
*
Your email
First name
*
Your answer
Spouse's name (if applicable)
Your answer
Last name
*
Your answer
Phone
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
List of family names and ages
*
Your answer
How many adults (18+) will be attending?
*
Your answer
How many children (6-17) will be attending?
*
Your answer
How many children (0-5) will be attending?
*
Your answer
Tell us a little about your family and your musical abilities. What is the musical practice in your family?
*
Your answer
List of musicians and singers in your family with ages, instruments they will be playing, and general skill level
*
Your answer
What type of housing are you requesting? (Your spot will be reserved once we have confirmed your choice and you have paid the fee.)
*
RV hookup with 30 AMP hookup and water ($25/night)
Dorm ($10/person/night)
Housing option ($45 - $100/night depending on location)
Other:
What dates do you plan on arriving and departing?
*
Your answer
Do you have and dietary restrictions or food allergies?
Your answer
I will pay by (please total up your costs using the pricing information that is found on the website
www.loveandpurity.com/hanukkah-registration
)
*
Check (mail to: 5027 Wayne 380 Lot 10, Patterson, MO 63956)
PayPal (We will send you an Invoice via Email)
Cash (pay upon arrival)
Other:
Would you or any family members be willing to volunteer to help in the kitchen or clean during the event?
Yes
No
Maybe
Clear selection
Do you have any other certifications or training that would be helpful to know for the event (medical, security, worship leader, dance leader etc.)?
Your answer
I and my family will abide by the event's rules and guidelines (refer to
www.loveandpurity.com/event-guidelines
for rules and guidelines)
*
yes
Required
Any additional comments or questions...
Your answer
A copy of your responses will be emailed to the address you provided.
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