CWOW Fall Registration (Sept 7 & 8, 2019)
Please fill out this form and click submit.
Name of Adult #1
*
Name of Adult #2
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AB
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AL
AP
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DC
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IN
KS
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MH
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Name(s) of Youth (middle or high school)
Name(s) of children (K-5)
Name(s) of children ages 2 - pre K
Special requests (dietary, housing, or other. We will accommodate as we are able).
Payment for Adults
1 Adult (full cost) ($160)
2 Adults (full cost) ($320)
1-2 Adult(s) (Scholarship) ($0)
1 Adult (full cost) ($160)
2 Adults (full cost) ($320)
1-2 Adult(s) (Scholarship) ($0)
Amount
Payment for Kids and Youth
) Kid/Youth ($0)
1 Kid/Youth ($50)
2 Kid/Youth ($100)
3 Kid/Youth ($150)
4 Kid/Youth ($200)
Kids (Scholarship) (0)
) Kid/Youth ($0)
1 Kid/Youth ($50)
2 Kid/Youth ($100)
3 Kid/Youth ($150)
4 Kid/Youth ($200)
Kids (Scholarship) (0)
Amount
Help cover the cost of the conference for others
Option 0 ($0)
Option 1 ($50)
Option 2 ($100)
Option 3 ($150)
Option 4 ($200)
Option 0 ($0)
Option 1 ($50)
Option 2 ($100)
Option 3 ($150)
Option 4 ($200)
Amount
Continue to Payment Page
Description
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