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YOU SAY 2021
January 29-30, 2021
Bentonville Church Lodge | 904 N. Walton Blvd Bentonville, AR 72712
Contact: 479 273 2178 or
nhorschig@bentonvillechurch.com
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Name | FIRST, LAST
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Email
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Phone Number
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Address
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Please select all that apply:
7TH - 12TH Grade
COLLEGE STUDENT TO 25
Attending with a Group
Youth Group or Student Ministry
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Conference Attendance | Attendance can be changed from In-Person to Virtual individually; Delivery of conference materials by mail will not be guaranteed after 1/20.
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In Person
Virtual
Conference Material Distribution
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Pick Up | NWA Local Virtual Attendee
By Mail | Non Local Virtual Attendee
In Person Conference Attendee
T-Shirt Size
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XS
S
M
L
XL
XXL
Please list any food allergies below:
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I understand that receiving a T-shirt & conference materials is only guaranteed with registering by January 17, 2021. Tickets purchased on-site will require an additional $5 fee.
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I have read the YOU SAY 2021 Health & Safety guidelines listed on
yousayconference.com
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