Name: First, Last

Preferred name for badge

Birthdate MO/YEAR
Phone + A/C
City, State
Last year you attended FMDR
By clicking the submit button, you agree to the following and attest that the information you provided is true to the best of your knowledge.

1. Your public and private behavior is expected to honor Christ, respect other attendees and adhere to high standards of personal discipline.
2. You will record no video taken of any events or any person during the duration of the retreat unless authorized.
3. You will  participate in all Retreat events unless otherwise noted.
4. Refusal to abide by these policies may result in immediate expulsion from the event and forfeiture of refund.
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