Wristband Number *
(Your wristband # can be found on the white part of your wristband.)
First Name *
Last Name *
Email *
City *
State *
Zip Code *
Mobile Phone
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Radio
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Select the city of the event you are attending:
Label Field *
Lubbock, TX
Springfield, MO
What church do you attend? (optional)
Name of Church
Upon registering your ticket, you will also receive Jennifer's weekly encouragement email sent every Friday
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Java with Jennifer.
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Java with Jennifer
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