Name *

First Name

Last Name

Phone *

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Registration Type *

After selecting registration type, press "SUBMIT" to enter your payment details. Registration fee may also be paid by check (made payable to Christ Covenant Church with "Conference" written in the memo.)

Friday Evening Only ($15)

Saturday Morning Only ($15)

Friday Evening AND Saturday Morning ($25)