Kenwood Network Conference Registration

Name

This address will receive a confirmation email

Phone

Name of the church that holds your membership

Do you want to stay with a Kenwood host family?

Yes No, I will make my own arrangements

How many people, including yourself, will attend the conference?

What are the names, ages, and relation of those you are bringing to the conference? This will help us plan for food, accommodations, and child care during the conference. (Ex.: Jen Smith, 40, wife; Jane Smith, 8, daughter; John Doe, 52, staff pastor)

What size polo shirt do you wear?

M LG XL XXL

Registration is $35 per person (12+). Kids under 12 are free. Please enter the proper amount for your party and submit payment to complete your registration.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.

Kenwood Network Conference Registration

Description

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