2019 Deployment Registration Form
Please note you must register for each location individually. If you need to make a change in your registration, please contact Courtney Britt courtneyhopebritt@gmail.com
Please select the location of the deployment you are registering for. *
First Name *
Your answer
Last Name *
Your answer
Chapter (if in Virginia) or State Federation (if not Virginia) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Gender *
If you're traveling more than an hour, do you need lodging? *
If you need lodging, please select the nights you need it for. *
If you have dietary restrictions, please indicate below.
Please select the days you will be knocking
By submitting this form you agree you will attend the event for which you registered. Further, you agree that if you do not attend the event and do not submit an excused absence 48 hours in advance, you will be required to reimburse the federation for the cost of your attendance up to $150. *
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