Annual Gathering 2016 Registration
Fill out this form with your registration information for Annual Gathering 2016, June 17-19, 2016 at the YMCA of the Rockies, Estes Park, Colorado.  
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Name *
Spouse
Name of accompanying spouse
Address *
City *
State *
Zip *
Zip or postal code
Country
Phone-Mobile
Phone-Home
Phone-Work
Email *
Child1
Name of accompanying child
Child1 Age
Age of accompanying child (years)
Child2
Name of accompanying child
Child2 Age
Age of accompanying child (years)
Child3
Name of accompanying child
Child3 Age
Age of accompanying child (years)
Child4
Name of accompanying child
Child4 Age
Age of accompanying child (years)
Comments
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This form was created inside of Mennonite Healthcare Fellowship.