L.O.G. #4 Participant Registration
Last NameL.O.G. # will be November 15-17, 2013 at Lawrence Road Presbyterian Church. The cost of the event is $60 (scholarships are available!).  Please fill out this registration form so we can get you and your family more information! Can't wait to see you!
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Last Name *
First Name *
Address *
City *
State *
Zip *
Cell Phone
Parents' Name & phone *
School *
Grade *
Church *
Home Email *
Why would you like to attend this event?
Invited by *
Tell us a little more about your relationship with God...
Birthday *
What colors best describe the kind of person you are? *
What 2-3 emotions are on your mind these days? *
What is one of your favorite snack foods? *
Do you have any special dietary needs or allergies? *
What extra-curricular activities are you active in? *
Give us 5-10 words that describe you. *
What are some of your hobbies? *
How do you feel about coming to L.O.G.? *
Time Stamp
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