2023 LWMS Spring Rally Ballot

Name*

Phone*

Email*

Church*

Location*

City, State (Winston Salem, NC)

Will you attend the Rally online or in-person?*

Do you have any dietary restrictions?*

Restrictions*

Other dietary restriction*

Childcare may be available.  If so, would you use this service?*

Child(ren) information*

Please names, ages, dietary needs if any

Is this your first LWMS event?  *

Would you like to receive information regarding upcoming Heritage Circuit events?*

Do you have any questions?*

Someone from our team will answer your questions!

Name

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