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AD-FORM #2
REMINDER: This FORM is processed Only Once (Per SL RETREAT)

To Validate Additional Registrants, Use the SAME SL Retreat DATE that you applied @ your FIRST-Tier Registry FORM
IMPORTANT: If a Field does NOT apply Write N/A

AD*FORM #2

* Indicates required field

1- Group Account (#) *

2- Write Your FULL Church Name *

3- Sr. Pastor's Name *

First

Last

4- CONFIRM (Write) Your SL Retreat Date *

5- Pick One or more Additional Registry Option *

(AD) ADULT...(18+) yrs. = Pymt. Due (AD) TEEN.... (13-17) yrs. = Pymt. Due AD) JUNIORS (9-12) yrs = Pymt. Due (AD) YOUTH...(4-8) yrs. = Pymt. Due (AD) INTODS... (0-3) yrs ..... FREE

6- How many Additional ADULTS (If Any) *

6a- Names of Additional ADULT Registrants *

7- How many Additional TEENS (If Any) *

7a- Names of Additional TEEN Registrants *

8- How many Additional JUNIORS (If Any) *

8a- Names of Additional JUNIOR Registrants *

9- How many Additional YOUTH (If Any) *

9a- Names of Additional YOUTH Registrants *

10- How many Additional INTOD Registrants *

10a - Names of Additional INTOD Registrants *

GROUP CONTACT PERSON'S INFORMATION
(for office use only)

11- Contact-person's Name *

First

Last

11a- Email (GCP) *

11b- GCP Cell Ph# *

12. CHOOSE A METHOD OF PAYMENT: Please submit your CHECK payment (within Five (5) days) by Registered Mail OR Electronic Deposit * Made payable to: STEADFAST LEADERS Inc. *

Submit & Continue

SL RETREAT​ ADDITIONAL REGISTRY

GROUP CONTACT PERSON'S INFORMATION(for office use only)

SL RETREAT
ADDITIONAL REGISTRY

GROUP CONTACT PERSON'S INFORMATION
(for office use only)