Daylighter’s Conference 2019 REgistration

Wednesday January 9, 2019

$5 in Advance/$7 at the Door

Name *
Name
Address *
Address
Phone *
Phone
I give permission to Presser PAC to use any photographs or media of student in promotional materials, commercials, and on web site *
Release
I, the undersigned parent/guardian of this student, a minor, do hereby release and discharge PPAC from any and all claims for personal injuries. By entering your name in the section below you agree to these terms.
Release Agreement *
Release Agreement