Passion 2010 A218 Registration
1.
ACCESS218 Passion 2010 Registration
Name:
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Other (Please Specify)
Email Address:
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Other (Please Specify)
Phone Number:
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Age:
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Other (Please Specify)
Which A218 Gathering do you most regularly attend?
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Forward
Tuesday Main Gathering
UNF Community Night
JU Community Night
Other (Please Specify)
Please indicate that you have read and agree to the payment information listed here:
-Registration is not complete until the $25 deposit has been received.
-Registration cost is determined by the date your deposit is received.
-All payment is due by December 1st.
-No refunds will be issued after December 1st.
-If for some reason you are no longer able to participate on this trip after December 1st, you are still required to pay for any expenses incurred up to that point as determined by the A218 Staff. This could include lodging, tickets, transportation, etc.
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I have read and agree to the payment information listed here.
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