Please enter your information as follows, all fields are required except for Email and Home Church. If the registration information is entered prior to March 9, 11:59 PM PST, the registered member is eligible for early registration discount. Please submit once per person.

You may pay the early registration discount at the seminar or by mail to:

Long Beach Friends Church
850 Atlantic Ave, Long Beach, CA 90813

If including more than one payment, please note each name in the memo section. Make checks payable to Long Beach Friends Church. If by cash, denote name with payment.

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Online Registration Form

Last Name First Name Middle Initial

Address

City State Zip

Phone Number Email

Home Church

Please check the times you will be attending:

Friday Night

Saturday Morning