Day on the Hill 2015 Registration

JRLC DAY ON THE HILL - Tuesday, March 10, 2015

ONLINE REGISTRATION NOW OPEN!

Please use the form below to register for Day on the Hill 2015. You may register 4 additional people under your registration. JRLC uses Paypal to process online payments. You can pay by using your Paypal account, or by using a credit card on the lower portion of Paypal payment page. You do not have to have your own Paypal account to pay online with your credit card.

If you would like to register a large group for Day on the Hill, please call 612-870-3670 to make arrangements.

Registration Fees

  • Early bird rate. Through February 20 - $30 ($15 student/low income)
  • February 21 through March 6 - $40 ($25 student/low income)
    On-line registration ends Friday, March 6, at 1:00 pm. 
  • March 7 - 10 and at the door - $45 ($30 student/low income)

No refunds after Feb. 20. Event will be held regardless of weather. No-shows are responsible for payment.

2015 Registration - Day on the Hill
  1. Name(*)
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  2. Email Adress(*)
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  3. Congregation
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  4. Address, city, zip code(*)
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  5. Legislative District
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  6. If you don't know your legislative district, you can look it up using the state district finder. If you prefer, you can give us your address, city, and zipcode instead, and we'll look it up for you.
  7. Dietary Needs(*)
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  8. iCAN Caucus?
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  9. Registration
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  10. Note: You may register additional people. Please include their names and registration levels here.

  11. Registrant 2 Full Name
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  12. Legislative District or Address
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  13. Registrant 3 Full Name
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  14. Legislative District or Address
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  15. Registrant 4 Full Name
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  16. Legislative District or Address
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  17. Registrant 5 Full Name
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  18. Legislative District or Address
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  19. Total
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  20. Security Code(*)
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