2. Dates*

   1. Oct. 23: Reconciliation, Bryan Stevenson

   Select which date(s) you will be attending. 

4. First Name*
5. Last Name*
7. Email Address
8. Phone Number
9. May we text you?
   -- Select One --YesNo
13. How many people are you bringing?
    -- Select One --12345678910
14. What are their names?
18. Lunch
    -- Select One --I will bring my own lunch.I will purchase a lunch at Timmons for $5

    Please select one of the following options.

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20. 1. Receive an email copy of this form.
21. Email address

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22. Submit

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