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EVENT REGISTRATION
EVENTS WE ARE CURRENTLY REGISTERING FOR:
To help us best serve you, please complete the information below. If the event your are registering for requires payment, your registration will not be considered complete until payment has been made to the church office.
Event you are registering for?
First Name:
Last Name:
Email:
Confirm Email:
Street Address
City
State
Choose State
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Zip
Phone 1
Phone 2
How many people are you registering for?
How Many
1
2
3
4
5
6
Registrant 1 Name
Registrant 2 Name
Registrant 3 Name
Registrant 4 Name
Are you a member of Church of the Covenant?
Member?
Yes
No
How else may we help you?
Please call or email Laura Bachmann for more information.
lmbachmann@verizon.net
Image Verification:
Enter what you see in the image in the box below using only lowercase A - Z & the numbers 2 - 9
(
CHURCH OF THE COVENANT | 2666 Military Road | Arlington, VA 22207 | Phone: 703.524.4115 | Fax: 703.524.4248
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