Malagash Registration Form - Halifax Metro Vineyard

Halifax Metro Vineyard

Please fill in the following relevant fields and then pay using the Paypal link.

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Name *

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Email *

Phone Number *

Home Church *

Spouse *

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Last

Child 1 *

Age *

Child 2 *

Age *

Child 3 *

Age *

Child 4 *

Age *

Child 5 *

Select One *

Choose One *

Bunk House Bringing Own Tent Bringing Own Trailer

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