Registration Form
2019 Pleasant Plains Young People's Weekend (middle school age through 20-somethings)
Email Address *
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First Name *
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Last Name *
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Age *
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Gender *
Mailing Address *
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City *
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State *
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Zip Code *
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Home Congregation
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Which nights will you need lodging? *
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Any comments or special needs that we need to be aware of?
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What social media do you use?
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