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Powerchurch Workshop Registration

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Parish Please enter valid data.
- Workshop REQUIRED
  20.0 – Wednesday, January 18, 2023
  20.0 – Thursday, January 19, 2023
  20.0 – Friday, January 20, 2023 Please fill out this field.
Total:

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