Devoted Women's Conference

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Name

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Email

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Phone

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Address

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Registration and Fees

To guarantee you receive a T-shirt, please register and pay by Saturday, March 7. You can register after this date, but you may not receive a T-shirt.

Registration Fee (includes T-shirt, lunch, journal and pen) $30

Optional Craft Fee of $10

What size of shirt?

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Small Medium Large XL 2XL 3XL

Do you need a gluten-free lunch?

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Please select all that apply.

Yes No

Childcare

We are happy to offer childcare during this event! Our New Life Youth will be caring for the children.

If you choose to use childcare, we ask that you consider making a minimum donation of $25 per family to support our youth as they raise funds for youth camp. Additional gifts are welcome to help support our youth going to camp.

Donations can be made directly to the Youth Department.

Would you need childcare?

Please select all that apply.

Yes and will agree to pay a minimum of $25 to support a youth going to camp No, I do not need childcare but I will donate towards helping a youth go to camp

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

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Description

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