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Impact Individual Registration
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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
*
XS
S
M
L
XL
2X
3X
4X
Ministry Choice 1
*
Carwash Ministry
Prayer Ministry
Blitz Ministry (canvassing neighborhoods to distribute promotional material)
Bless Ministry {performing random acts of kindness)
Lunch Ministry (very small group to prepare lunches and deliver )
Ministry Choice (second choice)
*
Carwash Ministry
Prayer Ministry
Blitz Ministry
Bless Ministry
Lunch Ministry
Room Occupancy
*
4 people in a room at $160
3 people in a room at $200
2 people in a room at $260
1 person in a room at $460
Tuesday Lunch Choices
*
Ham Sandwich on White
Ham Sandwich on Wheat
Turkey Sandwich on White
Turkey Sandwich on Wheat
Peanut Butter on White
PB on Wheat
Wednesday Lunch Choice
*
Pepperoni Pizza
Cheese Pizza
Ham/Turkey/ PB sandwich
Thursday Lunch Choice
*
Chick-fil-a chicken sandwich (plain)
Chick-fil-a chicken nuggets (8 piece)
Ham/Turkey/or PB sandwich
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