Please fill out this form for your GROUP registrations!

Church Name
Student Pastor/Leader's Name
Address
City
ZIP
Phone Number
Email Adress
Number of Registrations and T-shirt Sizes Below
Small
Medium
Large
X-Large
XX-Large
Housing Needed? (Limited Availability)	Yes No
Has Your Group Ever Been To Fusion Alaska?	Yes No
Who are your students most excited about seeing this year?
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REGISTRATION RATES

$85 if you register and pay before June 15

$105 if you register and pay before July 15

$125 if you register and pay before August 11

$150 at the door