Clone of FYLA/FCLA Con 2025 Registration

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Single registration apply to individual attendees only. For church staff five or more, please proceed with the group registration.
Your Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number*

Area CodePhone Number
Gender*

MaleFemale
Ministerial File #
Current Ministerial Position?
Church Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Total Attending*
Do you need Lake Wimauma Lodging?*

YesNo
If yes, do you have any special requests or rooming needs?*
Type NONE if coming alone EXAMPLE : John Smith - Male
If you are registering a group of 5 or more, please list each name below: *
Type NONE if coming alone EXAMPLE : John Smith - Male

My Products*

NICL Single Registrant $289.00

NICL Group of 5 or more church staff$1,250.00

Total $0.00

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