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Mid
Winter Event Group List Worksheet
Use this printable form to gather information for
entry into the registration system. |
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| Church:
____________________________________________________ |
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| Contact Name and
Phone: _____________________________________ |
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| Teens: |
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
|
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
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| Adults: |
Concert Only: |
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
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- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
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Make checks
payable to:
WV North District NYI |
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Total number (Concert & Falcon Center): ____
x $25 = _______
Total number (Concert Only): ____ x $10 = _______
Total: __________ |