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Cash Registration

Name *
Name
Address
Address
Birthdate
Birthdate
Emergency Contact
Emergency Contact Name
Emergency Contact Name
Lunch Options
Choose Lunch
General Questions
Do you attend FCC?
Are you a FCC member?
Are you currently volunteering?
Have you attended the IAM Conference in previous years?
Is The IAM Ministry beneficial and helpful to your everyday lifestyle?
Accept and Agree to the terms and conditions upheld by the IAM Conference, Refuge Productions, and Family Christian Center. * *
http://www.familychristiancenter.org/terms
VIP 125/100 E.B.S.
Single Registration $85/$65 E.B.S
Student Registration $45
Childcare $45 per Child
Are they getting Childcare?
Childcare Information
Child 1
Child 1
Child 2
Child 2
Child 3
Child 3
Child 4
Child 4
Child 5
Child 5
If you Have more than 5 kids place their NAMES, AGE, FOOD ALLERGY, in this box.