HB Mid-Singles Registration Form

Huntington Beach Mid-Singles Conference

Registration Form

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

* Confirm Email Address

* Ward

* Stake

Please select which activities you want to participate in.

Conference Fee - $65 (Sorry, but we are unable to purchase any more Angels game tickets so the $65 fee includes everything EXCEPT your ball game ticket. If you want to get your own ticket and join us at the stadium, you might be able to find one on Ticketmaster http://www.ticketmaster.com/event/09004648950C40F8?tfl=Los_Angeles_Angels-Tickets-Tickets-hottickets-b1 or craigslist http://orangecounty.craigslist.org/sss/ . Our seats are in the field box level right above the first baseline.)

Charity Run (You must also go to www.ocdash.com to register for the run)

Charitable Donation - $10 (This donation provides essential learning materials for two kids in remote areas of either Guatemala or Kenya delivered in person by LDS single volunteers on 2011 expeditions organized by the non-profit organization Singular Humanitarian experience (SHe). www.singularhumanitarian.org)

* Gender

Male

Female

* Birthday

*

Additional Charitable Donation

Imagine if all HB conference attendees donated $10, we can improve the lives of 2,000 kids. Donate $20, and we can double our impact!

Comments or Special Requests

Payments are processed by PayPal. Once your form has been submitted you will be forwarded to PayPal where you will then enter in your payment information.

* Indicates Response Required