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2012 CHENL Conference on the Rock Registration
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* Indicates required question
Name
Your answer
Address
Your answer
Telephone
Your answer
email
Your answer
Please list names of adults from your family who will be attending
Your answer
Please list names of children (ages3-11) from your family who will be attending, and indicate the age in brackets
ex. Name (age)
Your answer
Please list names of teens from your family who will be attending, and indicate the age in brackets
ex. Name (age)
Your answer
Please indicate if you are registering for just Friday or Friday and Saturday
*
Complimentary annual CHENL membership to all registrants!
Friday only $50
Friday and Saturday $100
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