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XO Conference Registrant INformation

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Your Name *

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Spouse's Name *

Your Phone Number *

Your Email *

Complementary Guest Names *

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Guest Email *

I will be Attending: *

Friday Morning Session (9:30am) Friday AfterNoon Session (1:30pm) Friday Night Kick Off Session (5:30pm) Saturday Morning Session (8am) Date Night (5pm)

I will need Child Care for: *

All Sessions plus Date Night Friday Morning Session Friday AfterNoon Session Friday Night KickOff Session Saturday Morning Session Date Night

How Many Kids? (Names/Ages) *

Are You Excited for the Conference? Please Tell Us Why! *

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REACHING:
Gadsden // Rainbow City // Southside // Attalla // Hokes Bluff // Glencoe // Boaz // Fort Payne // Anniston // Oxford // Ashville //Trussville // Birmingham // THE WORLD

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