Community Weekend '09 Registration
 
Name:  *
      

 
 
 
Email Address:  *
      

 
 
 
Phone Number: 
      

 
 
 
Age:  *
      

 
 
 
Which A218 Gathering do you most regularly attend? *
      

 
 
 
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. 

-A $25 nonrefundable deposit is due by September 6th. 

-Remaining $125 is due by September 27th. 

-No refunds will be issued after September 27th. 

-If for some reason you are no longer able to participate on this trip after September 27th, 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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