2019 Fall Family Conference Registration
Early bird registration is $70 per person and $95 per couple during the month of August. After August 31, fees are $95 per person and $120 per couple. In-home hospitality is on a first come first serve basis. Blocks of rooms have been reserved at the Holiday Inn Express (660-956-4682) and University Inn (660-627-1100) under the name "Life Church."
First Name *
Your answer
Last Name *
Your answer
Do you have a spouse that will be attending as well?
Spouse First Name
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Spouse Last Name
Your answer
Your local church name *
Your answer
Your local church city *
Your answer
Your local church state *
Your answer
Your home address *
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City *
Your answer
State *
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Country
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Your phone number including area code
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Zip Code *
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Preferred email address *
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Any special needs or comments you need to share with conference team:
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Will you be bringing children with you? *
There is a $15 per child charge that will include all meals that are provided during conference and materials used for childcare. Please note that childcare is provided for children under the age of 5 years.
Please provide the name and age of each child.
Your answer
Please list any special needs here.
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When will you be arriving in Kirksville?
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When will you be departing Kirksville?
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Are you traveling internationally to C2C Conference?
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