Please enable JavaScript in your browser to complete this form.Location: Myers Park Baptist Church, Charlotte, North Carolina Dates: April 11, 2024 from 11:00am-4:00pm (lunch provided) Please complete a registration form for each individual registering. The deadline to register is March 29, 2024. * = required field Participant InformationName *FirstLastName you want to appear on your name tag (if different than above)PronounsShe/HerHe/HimThey/ThemOtherIf you identify with pronouns other than the choice above, please list them here. Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Do you want to be added to our mailing list? *YesNoI’m already on itPhone *Church or Organization Affiliation you would like to appear on your name tagMealsPlease select which lunch option you prefer. The cost of lunch is covered by THRIVE.Lunch Options – Thursday, April 11 *Boxed Lunch, Meat OptionBoxed Lunch, Vegetarian OptionBoxed Lunch, Vegan OptionBoxed Lunch, Gluten-Free OptionBoxed Lunch, Gluten-Free and Vegan OptionNoneDisability Accommodations (If you need hearing, visual, mobility, or other accommodations, please indicate below)Submit
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