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Couple Registration - Family Gathering 2021

This form is for couples to register for the event.

Individuals should use a different for to register found on the landing page.


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Please select one of the following boxed lunches for yourself.
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Please select one of the following boxed lunches for your spouse.
Contact Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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First Name
Last Name
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We will be taking photography/video during the event and you may appear in such images. We will not be singling out individuals for photography/videos. I hereby consent to the photographing of myself and the recording of my voice and the use of photographs and/or recordings singularly or in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business purposes. I understand that the term "photograph" as used herein encompasses both still photographs and motion picture footage.
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Registrants are encouraged to carpool, however, a shuttle service for those without transportation between the venue and the hotel each day will be provided by Life Model Works but only for those who indicate their need here. Do you need the shuttle service?