Registration - Harmony Youth Xtreme Winter Conference December 27-29, 2018
Registration Form
Email address *
Student Name *
Your answer
Parent Name *
Your answer
Student's Grade *
Your answer
Student phone number *
Your answer
Parent/Emergency Contact phone number *
Your answer
I acknowledge total cost of trip is $70. $35 is due by October 14th and remaining $35 is due by November 28th. *
Required
Student has permission to ride the church bus to conference *
Submit
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