Name(s)

Church 

Address

City State Zip  

Phone E-mail

Childcare Required

    Nursery (How many)        Ages

    Pre-K (How many)           Ages

    Grades 1-6 (How many)   Ages

Registration Type

$20 Individual (no meals included)` $40 Individual (breakfast & lunch included) $50 Family Plan (no meals included) $100 Family Plan (breakfast & lunch included)

Optional Extras

  I will attend dinner w/Brad & Rita Berglund on Friday, February 29, 2008 (not included in registration fee) LOVE OFFERING FOR MEAL

  I will attend Worship at First Baptist Church on Sunday, March 2, 2008

  I request Scholarship Assistance

  I will mail my payment (check/money order)

  I will pay online using a credit card