Register — Prodigal Sons V

Register Online

Complete the form below and click Preview Email. Your email client will send a pre-filled message to prodigalsonsv@gmail.com .

Questions? Contact Daniel S. at 941-730-4274 or email prodigalsonsv@gmail.com .

Name Address Phone Email Sobriety Date

Payment Options: Pay electronically Send a check payable to Daniel Shepard

Room Options: Double Hotel Room — $240 Single Hotel Room — $285 (limited) No Hotel — Commuter — $135 Scholarship Wait List I wish to share my room with (roommate must also register):

T-Shirt Option: No T-Shirt I wish to purchase a T-Shirt for $20.00 T-Shirt Size

Additional Notes:

Mail-in: Make checks payable to Daniel Shepard and mail to: 2311 14th Ave W APT 502, Palmetto, FL 34221

Electronic payments:

Total Amount Due:

$0.00

Click Here to PAY NOW