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Kingdom Men's Advance 2017 Registration Form
Please note that submission of this form does NOT complete the registration process. Reservations will only be made for those who have registered AND paid the $280 balance in full. Since space is limited, only complete this form if you intend to pay the full cost of the trip.
Last Name *
Your answer
First Name *
Your answer
Age *
Your answer
Marital Status *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number (if applicable)
Please include the area code.
Your answer
Cell Phone Number *
Please include the area code.
Your answer
Membership Church *
Please specify "none" if you are not a member of a church.
Your answer
E-mail Address *
Your answer
Dietary Restrictions (if any)
Include food allergies.
Your answer
T-Shirt Size *
A $2 up charge will be added to sizes larger than 2X.
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