2022 MLC Alumni Florida Tour Registration

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This registration form will register you for a spot on the January 10-25, 2022 Florida Flora and Fauna tour offered to all WELS/ELS members by the MLC Alumni Association. EACH attendee must fill out this form.

Email *

First Name *

Please spell exactly as it appears on your government issued ID (license or passport)

Middle Name or Initial

Please spell exactly as it appears on your government issued ID (license or passport)

Last Name *

Please spell exactly as it appears on your government issued ID (license or passport)

Name Tag *

Please include your first and last name as you would like it printed on your name tag.

Street Address *

Include apartment or unit number if applicable.

City, State, Zip *

Cell Phone (if available)

If you have a cell phone and would like to receive informational texts and links during the tour, please select "Yes" below. Message and data rates may apply. Please consult your carrier for restrictions or additional charges for usage within Canada.

Yes

No thanks.

Home Phone (if available)

Gender *

Male

Female

Church Membership *

Please enter the WELS/ELS church name, city, and state where you are a member.

Date of Birth *

Please use the format of mm/dd/yyyy (i.e. 5/27/1971)

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone *

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