Kelsey Saturday 2011 Registration

kelsey

 

Complete this form to register your participation in Kelsey Saturday 2011! All data is sent to the event coordinator who will contact you with additional information.

Note: All information marked with * is required. We do not sell or otherwise share your information publicly without your permission.

*Your Name
*Your Email Address
*Mailing Address
*City
*State
*Zip
*Country
*Over age 18?

*Home / Cell Phone

*City, State where your group will be

If you are sponsoring a group of young adults under age 18,

please type SPONSOR following group location.

*Number of people in your group
*Best method to contact you
*How did you hear about Kelsey Saturday?
If 'Other' please specify:
*What do you hope to accomplish on Kelsey Saturday?

 

Please also note here if you need to host your event

on a day other than Saturday, April 30, 2011.
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