22nd NPG Registration

List Name of Children (6 to 12)

Information: * Required Fields

First Name

Last Name

Phone Number

Spouse First Name

Spouse Last Name

Spouse Email

Spouse Phone Number

Address

City

Zip Code

Total No of Adults ($110.00)

Total No of Youth (13 to 18) ($50.00)

Total No of Children (6 to 12) ($30.00)

Total No of Children Under 6 (Free)

Additional Adults Not Listed Above:

List Name of Youths (13 to 18)

List Name of Children Under 6

NPG Regitration No.

Travel Information and Accommodation:

Arrival Flight Number

Arrival Date

Arrival Time

Departure Flight Number

Departure Date

Departure Time

Payment Instructions:

Total Amount Due

Important - Please Read

Please submit your payment to your Area NPG Coordinator or Household Servant Leader.

For Area coordinator ONLY:

Zelle or Check is the preferred payment method.

For FCJC NorCal Only

FCJC NorCal Zelle is "fcjcnorcalcouncil@gmail.com" or please write a check payable to "FCJC" and submit the check to your Household Servant Leader or send to the Local NPG Area Coordinator/s.

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