The Freedom Center March 4-7, 2022

The Freedom Center March 4th -7th, 2022

Registration & Deposit (Deposit is non-refundable)
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Person, address & phone number
I acknowledge that at the hotel accommodations are double occupancy.*

I will travel with a roommatePlease assign a roommateI am traveling with a family of 4 or more
If you are traveling with your preferred roommate, type their full name in the box or enter NA.*
I acknowledge the travel dates are March 4-7, 2022. **

Yes
Select Your Payment Plan (Monthly Payments After Deposit)*

6 Month/ $1674 Month / $250One Payment $1200
Payment Options*

Deposit $200.00 (Non-Refundable)Total Payment $1200Add a child age 10 to 13 $225
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Freedom Center Deposit $200.00
Deposit for Freedom Center

Freedom Center Total Payment $1,200.00
Total payment for Freedom Center

Subtotal $0.00Tax $0.00Total $0.00
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The Freedom Center March 4th -7th, 2022