Leading with Faith Parent Seminar • 2.27.26
Fri, February 27, 2026 6:00-7:30p | Please fill out this form and click submit.
Your info
Parent's Name
*
Email
*
This address will receive a confirmation email
Phone
*
Guest or spouse
If you're bringing someone, please add them here so we may have plenty of food!
Kids
Are you in need of childcare? (We only offer childcare for 3yo—potty-trained THRU 5th grade)
*
Please select one option.
Yes
No
First child's name and age
Second child's name and age
Third child's name and age
Fourth child's name and age
Flat fee per adult
1 adult ($15)
2 adults ($30)
3 adults ($45)
4 adutes ($60)
5 adults ($75)
1 adult ($15)
2 adults ($30)
3 adults ($45)
4 adutes ($60)
5 adults ($75)
Amount
Notes
Notes:
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Fri, February 27, 2026 6:00-7:30p
Please fill out this form and click submit.
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