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** NOTE: The FAMILY FEE is allowed ONLY for families with 3 or more children, under age 17, living in YOUR household.
Pre-Registration: (
must be postmarked by
June 20, 2015
)
Family registration (
Meals are for the youth ages 2-17
)
District
*
Temple Number
*
Pastor
*
Church Address
*
Line 1
Line 2
City
State
Zip Code
Country
Adult Name 1
*
First
Last
Adult Name 2
*
First
Last
Age Range
*
18- 35
36- 55
56- 75
76- and up
Age Range
*
18- 35
36-55
56- 75
76 and up
Title
*
Bishop
Overseer
Pastor
Elder
Evangelist
Minister
Missionary
Brother
Sister
Title 2
*
Bishop
Overseer
Pastor
Elder
Evangelist
Minister
Missionary
Brother
Sister
Youth Name 1
*
First
Last
Christian Education Department Please check ONE.
*
Children’s Workshop (ages 2-5)
Ages 6-8
Ages 9-12
Ages 13-17
Debutantes & Masters (ages 13-24)
Youth Name 2
*
First
Last
Christian Education Department Please check ONE. 2
*
Children’s Workshop (ages 2-5)
Ages 6-8
Ages 9-12
Ages 13-17
Debutantes & Masters (ages 13-24)
Youth Name 3
*
First
Last
Christian Education Department Please check ONE. 3
*
Children’s Workshop (ages 2-5)
Ages 6-8
Ages 9-12
Ages 13-17
Debutantes & Masters (ages 13-24)
Youth Name 5
*
First
Last
Christian Education Department Please check ONE. 5
*
Children’s Workshop (ages 2-5)
Ages 6-8
Ages 9-12
Ages 13-17
Debutantes & Masters (ages 13-24)
Youth Name 4
*
First
Last
Christian Education Department Please check ONE. 4
*
Children’s Workshop (ages 2-5)
Ages 6-8
Ages 9-12
Ages 13-17
Debutantes & Masters (ages 13-24)
Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Home Phone Number
*
Phone Number Cell/ other
*
W.E. Crumes Ministerial Institute (Mandatory for all ordination candidates; Separate $70 Registration Fee)
*
I am a pastor, minister or evangelist and would like to register for the institute
I am a layperson, and would like to register for the institute
Ordination Examination (W.E. Crumes Institute mandatory for all ordination candidates)
*
Elder
Evangelist
Missionary
Event Ticket *Ticket prices listed subject to change Please select the event(s) you will be attending.
*
A night of Elegance with the Bishops – $50
Breakfast w/ Chief Bishop (Wednesday) - $20
Minister’s Wives Luncheon – $30
Breakfast w/ Chief Bishop (Thursday) - $20
Ushers Luncheon - $30
Women Work Late Night Dinner - $35
Submit
Check out
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✕
