Koinonia Young Adult Collective Registration Form

CONTACT INFORMATION

Name

This address will receive a confirmation email

Phone

Address

Church

T-SHIRTS AND REGISTRATION FEE

T-Shirt Size

XS S M L XL XXL XXXL

Payment $25.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

March 22, 2025 @ 2:20pm

Please fill out this form and click submit.