MMDAY

Mature Member Day Registration

Each person going on trip, must fill out a registration.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Registration Agreement

By submitting this registration you are agreeing to ride in the Chandler Acres Church Van to and from the Mature Member Day event in Lincoln, NE on April 11th, 2019. You will not hold Chandler Acres Church or it's staff responsible for any accidental to any of your property or any harm to yourself.

Do you agree to the Registration Statement? *

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