Messy Lenten Practices Wednesday, February 10th at 10 am (PST) Total number of attendees you are registeringPlease include yourself123456789Is your church currently involved in Messy Church?*YesNoChurch Name*Church Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Church Email (optional) Your Name*If you are registering a group, you will be the group contact First Last Your Email Address* Your Phone Number*Please give the name and email address of each of your attendees. Attendee #2 Name* First Last Attendee #2 Email* Attendee #3 Name* First Last Attendee #3 Email* Attendee #4 Name* First Last Attendee #4 Email* Attendee #5 Name* First Last Attendee #5 Email* Attendee #6 Name* First Last Attendee #6 Email* Attendee #7 Name* First Last Attendee #7 Email* Attendee #8 Name* First Last Attendee #8 Email* Attendee #9 Name* First Last Attendee #9 Email* Individual Registration Price: $25.00 Group (2-4 Registrants) Price: $40.00 5+ AttendeesAfter 4 attendees, each person is an additional $5.00. Price: $0.00 Tracking/Coupon CodeIf you have been given a tracking code as a part of a larger organization (like your Conference) or a coupon code, enter it below and click apply. Total $0.00 Credit Card Card Details Cardholder Name Your Coupon CodeNameThis field is for validation purposes and should be left unchanged.