ONLINE REGISTRATION TODD WILSON, The Family Man Family Friendly Evening Titled - "Laugh, Remember, and Be Encouraged" September 13th @ 7:00 PM Chardon Christian Fellowship $5.00 (per family) Payable at the door


	1. LAST NAME:


	2. FIRST NAME:


	3. NUMBER ATTENDING: (so we can prepare enough seating)

CONTACT INFORMATION:

Address
Email
Phone

Will this be your first time attending a Todd Wilson event?

YesNo


	6. Questions or comments:

I would like to receive information on sponsoring this event. Individual, church and business sponsors welcome. All proceeds go to Family Man Ministries to cover travel and expenses. Note: please be sure you provided your email above so we can contact you.

YesNo
Additional Comment