Living Water 25th Anniversary Registration – April 27

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First Name *

Last Name *

Spouse First Name (if applicable) *

Spouse Last Name (if applicable) *

Children's Names (if applicable) *

Email *

Phone *

Number of People Attending *

Do you need a ride to the event? *

Yes

No

Can you provide a ride to the event (if needed)? *

Yes

No

Payment Instructions

Cost is $50 per person. Children 16 and under are free. Please bring or mail a check to the church and write in the memo line 25th Anniversary.

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