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ECCYC 19 th Annual Convention July 26th to August 3th, 2008 Rosemont College, PA REGISTRATION FORM www.eccyc.org
Instructions: All participants must submit a completed registration form with payment to the church delegate by the appropriate deadline. Servants who will accompany their church youth for college or high school sessions must submit a completed “Servants Registration Form” with payment to the church delegate.
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	First	Middle	Last
Name:	$first	$middle	$last
Address:	Street	Apt #
$street	$apt
State $state

Instructions: All participants must submit a completed registration form with payment to the church delegate by the appropriate deadline. Servants who will accompany their church youth for college or high school sessions must submit a completed “Servants Registration Form” with payment to the church delegate.