Your Name
Phone Number
Email Address
Your Staff Position
Your Church Name
Your Wife's Name
Is your wife attending?
Please check... Yes Please check... No
Children's names & ages (if attending)
If children will be attending, please provide their names and ages.
Special needs
Please list any special needs that we may be able to accommodate.
Please check... Yes, I will need a hotel room for Monday night. Free to all registered Pastors and their families.
Please check... Yes, I will be attending the Monday night BBQ.
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