23rd NPG Registration Form

NPG Regitration No

First Name

Last Name

Email

Phone Number

Spouse First Name

Spouse Last Name

Spouse Email

Spouse Phone Number

Address

City

Zip Code

Total No of Adults ($125.00)

Total No of Youth (13 to 18) ($60.00)

Total No of Children (6 to 12) ($30.00)

Total No of Children Under 6 (Free)

Additional Adults Not Listed Above:

List Name of Youths (13 to 18)

List Name of Children (6 to 12)

List Name of Children Under 6

Arrival Flight Number

Arrival Date

Arrival Time

Depart Flight Number

Departure Date

Departure Time

Total Amount Due

Payment Instructions

To Pay your registration via Zelle:
- Zelle Account: jmjgabe7@gmail.com
- Please add "NPG Registration and your name" in the comment section.

To Pay your registration by Check:
- Make Check Payable to FCJC Central Florida
- Mail Check to: Gail Gamallo (12821 Spurrier Lane, Orlandon FL 32824)

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Your Registration has been submitted

Families in Christ Jesus Community