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Committed Man Conference Registration
This conference is for adults 18+
First Name
Last Name
Email
Phone Number
Are you attending from/with a church other than Covenant?
Yes
No
Please tell us what church you're from
Do you need a ride to conference?
Yes
No
Requesting Rides for
Friday
Saturday
Both
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Will you need childcare?
Yes
No
Childcare is provided for free for children up to 11 years old.
Childcare Disclaimer
Childcare for children up to the age of 11 will be provided by staff on-site at Covenant Church.
Please fill out the below information for each child so we can check them in upon arrival
Child's First Name
Child's Last Name
Allergies and/or Medical Conditions
Child's Age
0-2 (Nursery)
3
4
5
6
7
8
9
10
11
Please list an emergency contact for your child
First Name
Last Name
Phone Number
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