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ENCOUNTER.MN
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E
NCOUNTER.MN #23 Attendee APPLICATION
4pm friday April 17th
through
6pm sunday, April 19th
at
First Covenant Church,
Willmar, MN
Cost is $60 FOR SINGLE or $100 FOR MARRIED COUPLE,
HOWEVER
, SCHOLARSHIPS ARE AVAILABLE! (contact us
here
)
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Name
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First
Last
Phone #
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Age
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Gender
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Male
Female
Status
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Single
Married
Divorced
Shirt Size
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Small
Medium
Large
XL
2XL
3XL
Who encouraged you to apply?
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Phone or E-mail
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It is IMPORTANT that you provide the info in the next two fields:
Parent, Guardian or Emergency Contact
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Emergency Contact Phone AND E-mail
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Medical/Dietary Needs/Special Requests
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Hobbies/Special Interests
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Who is the most important person in your life right now?
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Home Church?
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Pastor
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Pastor Contact Info
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I recognize that churches and denominations have varied views on who may partake of communion. I understand that communion will be served at the ENCOUNTER weekend and also understand that it is my decision whether or not to partake.
Sign by typing your full name in the signature field.
Electronic Signature & Date
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Permission to use photos of me in any future promotions?
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