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DISCOVER THE JOURNEY
October 9-11, 2009
Congregation Name
Congregation Phone Number
Mailing Address
City State Zip Code
Congregation's Email Address
Group Leader's Name
Group Leader's Phone Number
Group Leader's Email Address
Boy's Attending. Please Indicate Grade
Girl's Attending. Please Indicate Grade
Adults Attending. Please Indicate Couples
Housing
Housing Required For Friday Night (check) - Yes No
Housing Required For Saturday Night (check) - Yes No
Please List Any Special Housing Needs, Requests, Or Prior Arrangements
T-Shirts
T-shirts are included in the teens' registration fee.
Adults can purchase T-shirts for $10.00 each
Child sizes are not available.
Number of Small Number of Medium Number of Large
Number of X-Large Number of XX-Large
Cost
Total Number of Teenagers x $15.00 or $20.00 if Registering After September 21.
Total Number Of Adults Adults' Registration Free
Total Number of T-shirts for Adults - X $10.00. (Sizes should be included in the figures above.)
Total Number Of Football Tickets x $12.00
Total Of Check Being Mailed
PLEASE REMEMBER THAT YOU ARE NOT FULLY REGISTERED UNTIL YOUR CHECK IS RECEIVED!
Please make your check out to Starkville church of Christ and mail to :
Starkville church of Christ
Discover Youth Rally
1107 East Lee Blvd
Starkville, MS 39760
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