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Advent Dinner Registration [Home Page]

The cost for this event is $15.00 for adults and $7.50 for children under 12. Because this is not an overnight event please disregard information about sleeping arrangements or roommates.

*Name:

Address:
City: St: Zip:

Home Phone: Work Phone: Cell Phone:

E-mail Address:

Church:



*Emergency Contact: (Not living in the home)

Home Phone: Work Phone: Cell Phone:


I would like to bunk with:

Special Dietary Needs:

Allergies:

Comments or Special Needs:


Please tell us how you heard about us:


Please check here if you will need childcare.

How old are your children?


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*Amount Paid:

*Method of Payment:

*Amount of PayPal Payment:


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John Knox Center
591 West Rockwood Ferry Road
Ten Mile, TN 37880
Phone: (865) 376-2236
Fax: (865) 376-1719
Email: admin@johnknoxcenter.org
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