Small Church Gathering Registration Form

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Name *

First

Last

Email *

Phone *

Your Church or Organization *

What is your role at your Church or Organization? *

If you selected "Other," please specify

Will you be eating lunch? *

Do you wish to have a vegetarian lunch? *

Please provide the contact information (name and phone number) of someone you would like us to call in the event of an emergency. *

Comments or Questions

Contact Us

2022 McDonald Lane
Raleigh, NC 27608