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Staff Registration
Staff Form
Name
(Required)
First
Last
Email
(Required)
Address
(Required)
Street Address
Address Line 2
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State
ZIP Code
Registering as a Staff Member?
(Required)
Yes
No
Not Sure
Which Event?
(Required)
October 18-10 Camp Kiesel Utah
Sign me up for the next one as well
Not Sure
T-Shirt Size
(Required)
Birth Date
(Required)
MM slash DD slash YYYY
Must be over the age of 18.
Marriage Status
(Required)
Divorced
Engaged
Married
Not Specific
Separated
Single
Widow
Special Needs
(Required)
Denomination
(Required)
Referred by
How did you find us?
I have my mission statement
(Required)
Yes
No
I need one, or need to update
Registration
(Required)
Register myself
I want to pay if forward
I want to register myself & pay it forward
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