3 Cord Strong Marriage Conference Registration
September 8-9, 2017
Heights Christian Church
Cost: $50/couple

Please complete and submit the below form to register. Registration is complete when payment is received. You can pay online, mail in a check, or stop by the church office. After the form is filled out and you click "submit", you will be directed in how to remit payment.


*Required Fields

*Name:


*Spouse Name:



*Address 1:


Address 2:


*City:


*State:


*Zip Code:



*Phone:


*Spouse Phone:



*Email:


*Spouse Email:



*Church Affiliation:



Limited childcare is provided, but you must reserve space.

Yes, I would like to reserve space for childcare.

If yes was selected, please provide your child(ren)'s name(s) and age(s):






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