2021 MLC Alumni O Canada Tour Registration

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This registration form provides the easiest and fastest way to register and reserve your spot for the 2021 O Canada tour. EACH attendee must fill out this form. Although the tour is currently sold out, please register and we will add your name to the waitlist. There are no payments or deposits required to be on the waitlist. When cancellations occur, if you have kept your schedule clear and are able to come, you would receive a discounted rate. Contact Steve Balza at 507-217-1731 or alumni@mlc-wels.edu with any questions.

Email *

First Name *

Please spell as it appears on your government issued IDs (license and passport)

Middle Name or Initial *

Please spell as it appears on your government issued IDs (license and passport)

Last Name *

Please spell as it appears on your government issued IDs (license and 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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