2021 School of Signs & Wonders Registration

To register, please fill out this form and click submit. If you have any questions email: Gannon@lafayettevineyard.org

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Church you attend

*

Childcare needed?

*

Please select one option.

Yes No

Number of children

*

Please select one option.

1 2 3 4 5 6

Ages of all children needing childcare

*

Payment (Please Select If You Are A New Student, Returning Student, or Alumni)

New Student ($50.00) Returning Student (Optional Donation) Alumni (Optional Donation) Under 18 ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

To register, please fill out this form and click submit. If you have any questions email: Gannon@lafayettevineyard.org

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