STEADFAST LEADERS INC.
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EXTRA
Members
Referrals
SL Retreat
EXTRA ATTENDEES
REQUEST FORM
NOTICE:
This is NOT a Registration FORM
Send a request fourteen (14) or more days prior to:
************************************
IMPORTANT
: This FORM is Valid for SL RETREAT & CERTIFICATE PROGRAM
If you are APPROVED to register EXTRA attendee/s ON-SITE
;
then please
bring
a Valid group-p
ayment option, such as:
Cash
Debit Card
or
Certified
Check
to
submit the
required
payment-due. This
REQUEST
FORM
will be processed in the order received. R
EMINDER
: If a field does Not apply write N/A
*
Indicates required field
1. What is your current Group Status?
*
.
GR-GROUP
MD-GROUP
1a. Group Account (#)
*
1b. MD-CODE (If apply) for ID purpose only
*
2. Sr. Leader's Name
*
First
Last
3. Do you want to bring EXTRA Attendee/s ?
*
.
Yes
No
4. Give Age-range/s of your EXTRA Attendee/s
*
Extra (CP) *ADULT (18 +) older... Reg. $Due
Extra *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
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 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. Email of (GCP)
*
7. GCP Cell Ph #
*
8. I / We agree to provide the *Required Registration and Payment _ Due ON-SITE for The EXTRA Attendees (before) our Group's Check-In process
*
.
Yes
Submit Now