Men's Fraternity - Ephrata, PA

Registration Form

All participants must register. Although registration will be conducted at the event, advanced registration is strongly encouraged to help ensure a smooth opening night. You may use the following form to register online.

*Full Name:
Birth Date:
Address:
City/Zip:
*Home Phone:
Cell Phone:
*Email:
*Maritial Status:
Church Attended:
Special Requests:
(If requesting men who you'd like in your group, they must register separatley)

Payment

There is a $25 cost for the workbook that will need paid. You can bring with you the first night