MID YEAR REGISTRATION FORM

2024 Mid-Year Session Session

Registration Type

Name
Name
First
Last
Church Physical Address *
Church Physical Address
City
State
Zip/Postal
Is the Church Physical Address different from the Church Mailing Address *
Church Mailing Address *
Church Mailing Address
Street Address or P.O. Box
Apt/Suite/Office
City
State
Zip/Postal

Pastor's Information

Name
Name
First
Last

Fees

Please choose the amount of attendees including yourself that you are registering and provide a name and email address for each.

Adult Registration

Adult Registration - $20: $20.00

Youth Registration

Youth Registration - $10: $10.00

Annual Assessment Amount
Please enter the amount for the Annual Assessment you can give today.

Additional Attendee #1

Name
Name
First
Last

Additional Attendee#2

Name
Name
First
Last

Additional Attendee #3

Name
Name
First
Last

Additional Attendee #4

Name
Name
First
Last

Additional Attendee #5

Name
Name
First
Last

Additional Attendee #6

Name
Name
First
Last

Additional Attendee #7

Name
Name
First
Last

Additional Attendee #8

Name
Name
First
Last

Additional Attendee #9

Name
Name
First
Last

Section

Subtotal

Summary

Upon pressing the "Submit" button, you have submitted the registration form and will be taken to PayPal to complete your payment.
When you reach the PayPal screen, you will be asked to enter your email and password if you have a PayPal account. You do not need to have a PayPal account to complete this transaction.
For those who do not have PayPal, look below the blue and white buttons for the grey button labeled "Pay with Debit/Credit Card". Click that button to pay without PayPal.
Please review all entry data before submitting as you will not be able to make adjustments after pressing "Submit".

PayPal Screen
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