Berean Church Fellowship: Berean National Convention Registration Form

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Leadership Forum 2012

April 16-18, 2012

Berean National Convention 2011 Registration Form

Fields marked with a * are required. Be sure to press the "Submit Registration" button after you complete the form.

Personal:

Name(s) of person(s) attending*
Phone
Email
Church
Childcare needed for the morning convention meetings.
Names and Ages of children: (could be a little older than our evening care which will be for ages 0-5)

Activities:

10/5 Welcome Dinner - How many? (free to out of town guests)

10/7 Women's Luncheon ($10 pp) - How many? (need names)

10/7 Pastors & Delegates Council Lunch ($10 pp) - How many?

Klamath Salmon Fishing - Please select a date:

10/410/5 How many?

10/4 Klamath Whitewater Rafting ($21 pp, includes lunch) - How many?

Housing:

Housing: In addition to rooms booked at the Holiday Inn Express 1-530-842-1600, we do have other motels in Yreka (look online) and also families that have offered their homes (pre-approved by our staff). Please let us know if a home would be helpful to you!

We would like to stay in a private home.

Type the code from the image