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Price:

*Attendee's First Name:

*Attendee's Last Name:

*Attendee's Email Address:

*Attendee's Phone Number:

Country:

Address Line 1:

Address Line 2:

City, State Zip:

*Are you a member of ClearView? *If no, please email tsellers@clearview.org on how to join today!:

Yes.No.

*How many people (children included) will attend the commitment dinner?:

*Please list the name(s) of your child(ren)::

*Please list the birthday(s) for your child(ren)::

*Please list the life verse(s) for your child(ren)::

*Please upload a photo of your child.:

Registration Total: