Men of Synergy Camp Registration

Men of Synergy Camp Registration Form

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First Name *

Last Name *

Address *

City *

State *

Zip *

Cell Phone *

Email Address

Age *

Home Church

Emergency Contact Person *

Emergency Contact Person Cell Phone *

Medical / Personal Notes

I relinquish New Life Church, Abba's Haven, volunteer workers and anyone associated therein of any liability while participating in all activities that are a part of this event. *

Pay *

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