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Name

First Name:	Last Name:

Phone Number: (000-000-0000)

Church:

Are you registering as a youth or an adult?

YouthAdult

What size of T-Shirt do you want? (note: only those who register before October 1, 2007 will recieve a T-Shirt)

XS S M L XL XXL XXXL

If you have any questions or issues regarding this site, please contact Kevin Yancey at 785-383-4223.