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Conference Waitlist
July 23–24, 2021
LYFE is FULL.
This form should be used to be placed on a waitlist ONLY.
You can add your name to the LYFE waiting list and if a spot opens up,
we will reach out to you and you can pay your registration at that time.
Participant Information
Have you attended LYFE before?
Yes
No
Preferred title
*
Mrs.
Miss
Ms.
Name
*
Email
*
Phone Number
*
Address
*
State
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Colorado
Connecticut
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District of Columbia
Florida
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Maine
Maryland
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Puerto Rico
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Tennessee
Texas
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Washington
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AA
AE
AP
Group Leader's Name (NA if not applicable)
*
Church or Group Name
*
Church/Group City
*
Church/Group State
*
Comments or Special Requests
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