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Impact Individual Registration
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* Indicates required question
Type of Participant
*
Staying at Hotel
Local Commuter
Participant's First Name
*
Your answer
Participant's Last Name
*
Your answer
Church Group
*
Your answer
Gender
*
Male
Female
Age Group
*
Adult
College
High School
Middle School
Child accompanied by parent
TShirt Size
*
Youth Small
Youth Medium
Youth Large
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult 2X
Adult 3X
Adult 4X
Child XS
Ministry Choice 1
*
Carwash Ministry
Prayer Ministry
Blitz Ministry (canvassing neighborhoods to distribute promotional material)
Bless Ministry {performing random acts of kindness)
Lunch Ministry ( to prepare lunches and deliver )
T-Shirt Team (washing, folding, a distributing the shirts)
Ministry Choice (second choice)
*
Carwash Ministry
Prayer Ministry
Blitz Ministry
Bless Ministry
Lunch Ministry
T-Shirt
Tuesday Lunch Choices
*
Hamburger (plain) (cheese will be available to add)
Peanut Butter on White
Peanut Butter on Wheat
Ham on White
Ham on Wheat
Turkey on White
Turkey on Wheat
Wednesday Lunch Choice
*
Pepperoni Pizza
Cheese Pizza
Ham on White
Ham on Wheat
Peanut butter on Wheat
Peanut Butter on White
Turkey on White
Turkey on Wheat
Thursday Lunch Choice
*
Chicken Sandwich
Chicken Strips or Nuggets
Ham Wheat
Ham on White
Peanut Butter on White
Peanut Butter on Wheat
Turkey on White
Turkey on Wheat
Food Allergy
Your answer
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