Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
List Names of People Registering
Make Your Selection
prev
next
( X )
RUBY Registration
Standard Registration. Registration Bag included with the program, promotional items, ID Badge, and Snacks.
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
DIAMOND Registration
Include Standard Items plus Free Wendy's Frosty daily thru 12.31.2025 ID badge with picture, Preferred seating, Express Registration Pick up, Screen and Website acknowledgement, Picture with Supervisor and upgraded promotional items
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Full Page Ad (Church, District, Business, Region)
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Half Page Ad
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
First Lady Ad
Full Page ad for First Ladies and Widowers who were First Ladies
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Vendors
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Gift to Supervisor Smith on Friday Night
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Gift for Supervisor on Friday
Compliments
Please turn monies into District Missionary or Church but if you can't and want to participate enter it here.
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Payment Methods - Call 470.446.2832 if you have problems.
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Email Receipt to:
example@example.com
Submit
Should be Empty: