Registration — The Living Room

March 10th-12th 2023 I Sleep Hollow Conference Center

$350 singles (Double Occupancy)

$550 Couples ($50 for children - under 5 only)

First Name

Last Name

Email

Phone Number

(###)

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Sobriety/Clean Date

MM

DD

YYYY

Service Positions Request

Hoodie Size

If applicable only

Spouse Name

First Name

Last Name

Spouse Email

Spouse Phone Number

(###)

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Spouse Sobriety Date (*If Applicable)