STEADFAST LEADERS INC.
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SL Retreat
REQUEST TO BRING EXTRA ATTENDEES
NOTICE:
This is NOT a Registration FORM
Send your request fourteen (14) or more days prior to:
IMPORTANT
:
Use this Form ONLY ONCE., Your request is Valid for the SL RETREAT & SL CERTIFICATE PROGRAM (at the same time) If you are APPROVED to register EXTRA attendees ON-SITE
then please bring
a Valid P
ayment Option
to
submit the
required
payments-due...
such as:
Cash,
Debit Card
or
Certified
Bank
Check
(ONLY)
This REQUEST FORM will be processed in the order received... REMINDER: If a field does Not apply write N/A
*
Indicates required field
1. What is your current Group Status?
*
.
GR-GROUP
MDR-GROUP (Current)
1a. Group Account (#)
*
1b. Active MDR-CODE (If apply... for ID only)
*
1c- Full Church Name & Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
2. Sr. Leader's Name
*
First
Last
3. Do you want to bring EXTRA Attendee/s ?
*
.
Yes
No
4. (Choose One or More) Give Age-range/s of your EXTRA Attendee/s
*
Extra (CP) *ADULT (18 +) older... Reg. $Due
Extra (SL) *ADULT (18 +) older... Reg. $Due
Extra *TEEN (13-17) Yrs Old ...... Reg. $Due
Extra *JUNIOR (10-12) Yrs ........ Reg. $ Due
Extra *YOUTH (4-9) Yrs old ...... Reg. $ Due
Extra *INTODS (0-3) Yrs old...... Reg. FREE
Please tell us the number of Extra Attendees we should expect and prepare for... be specific!
4a. How many Extra CP-Adults to be registered (ON-SITE) (Certificate Program Only) (If Any)
*
4b. How many Extra (SL) ADULTS (If Any)
*
4c. How many Extra TEENS (If Any)
*
4d. How many Extra JUNIORS (If Any)
*
4e. How many Extra YOUTH (If Any)
*
4f. How many Extra INTODS (If Any)
*
(GCP) *INFORMATION
(for office use only)
5. Name of (GCP)
*
First
Last
6. (GCP) Email
*
7. GCP Cell Ph #
*
8. (Upon Arrival *Before our Group is Officially Verified & Checked-In) I / We agree to provide the *Mandatory Registrations and Payments Due ON-SITE for ALL Our *Required (Pr-Authorized) EXTRA - Attendees., AND Furthermore, We Also agree to the Same IF we arrive with Any UN-Authorized (Extra / Final) Attendee/s
*
.
Yes
NO
Submit Now