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DU Registration

Step 1 of 2

Group/Family Leader Information
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Home Congregation*
Congregation City, ST*

Name*
First Last
Registrant Type*
Gender*
- Male
- Female
Grade*
Grade student will enter this year.
Any food allergies or special needs we need to know about?*
- Yes
- No
What are they?*
Staying for the BBQ lunch on Sunday?*
- Yes
- No
Total
$0.00
Home Congregation
Congregation City, ST
Group Leader Name
First Last
Group Leader Phone
Group Leader Email
Group Leader Address
Street Address Address Line 2 City State ZIP Code