2018 Winter Blitz Mission Excursion

*First Name
*Last Name
*Address 1
*City
*State
*Zip
*Email
*Cell Phone

(Please include area code)

*Church Name
*Number of Youth Attending
There are only 328 available
Only number values are allowed
*Number of Adults Attending
There are only 73 available
Only number values are allowed
Any Special Skills/Needs/Considerations

By completeing the registration for 2018 Winter Blitz, you are also granting the Kentucky Annual Conference the permission to use your picture/video image for Kentucky Annual Conference publications, including our website, and ministries.  Any images acquiried at any Kentucky Annual Conference events will not be sold or used in any demeaning way.

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