Tragedy Into Triumph Registration
March 18-20, 2019
Tragedy Into Triumph
Three nights of powerful transformation through Faith in God
First Name *
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Last Name *
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# of People Attending *
Address *
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Zip *
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City *
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Home Phone
(XXX) XXX-XXXX
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Cell Phone *
(XXX) XXX-XXXX
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Email *
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What Days Will You Be Atteding? *
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I will require the free Child Care *
Child(ren)'s Name(s)
Your answer
Child(ren)'s Age(s)
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In Case of Emergency, Contact (only need if utilizing Child Care) *
Please provide name & number
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Please list ALLERGIES or other MEDICAL CONDITIONS (for Child(ren))
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Do you grant permission for Parkside Church of the Nazarene to use pictures of you and/or your child on its website for informational or promotional purposes. *
What Days will you be needing Child Care *
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