Name of GROUP LEADER (or individual if not attending with others from your church). *

First Name

Last Name

Cell Phone *

(###)

###

####

Check all that apply: *

I will be a voting delegate at the business meeting

I will be in attendance for Friday dinner

I will be in attendance for Saturday lunch

I will need gluten free meals.

I will need vegetarian meals.

Would you like the hotel discount codes for yourself or your group? *

Check one box only

Yes, please send to my email.

No thanks, not needed

Person #2

If you are a group leader, use persons 2-6 to add names of others from your church who will be attending with you. If none, leave these blocks empty.

First Name

Last Name

Person #2 info:

Check all that apply

Will be a voting delegate at the business meeting

Will be in attendance for Friday dinner

Will be in attendance for Saturday lunch

Will need gluten free meals.

Will need vegetarian meals.

Person #3

First Name

Last Name

Person #3 info:

Check all that apply

Will be a voting delegate at the business meeting

Will be in attendance for Friday dinner

Will be in attendance for Saturday lunch

Will need gluten free meals.

Will need vegetarian meals.

Person #4

First Name

Last Name

Person #4 info:

Check all that apply

Will be a voting delegate at the business meeting

Will be in attendance for Friday dinner

Will be in attendance for Saturday lunch

Will need gluten free meals.

Will need vegetarian meals.

Person #5

First Name

Last Name

Person #5 info:

Check all that apply

Will be a voting delegate at the business meeting

Will be in attendance for Friday dinner

Will be in attendance for Saturday lunch

Will need gluten free meals.

Will need vegetarian meals.

Person #6

First Name

Last Name

Person #6 info:

Check all that apply

Will be a voting delegate at the business meeting

Will be in attendance for Friday dinner

Will be in attendance for Saturday lunch

Will need gluten free meals.

Will need vegetarian meals.