Download 3 or 4 Digit Security Code:______ Credit Card Billing Zip Code:______. EVENT REGISTRATION FORM. PROGRAM TITLE. EVENT CODE. EVENT DATE. PRICE *. TOTAL. If you need more space please duplicate this form. Please fax this completed form wit
Download Event Registration Form (previously the Liquor Permit Form). Event Manager Details. Name: Mobile: Email: Staff/student number: Event Details. Event name: Event location: Event start date: Event end date: Event start time: Event end time:
Download Event Registration Form. This form is to be used to register all Student Life supported programs, activities and meetings. Worksheets must be submitted to the Office of Student Life, two (2) weeks in advance of the event. If you have any
Download UNE LIFE EVENT ADMINISTRATION, MADGWICK HALL. P: 02 6773 5705 E: [email protected]. UNE EVENT REGISTRATION FORM. *Must be lodged with the UNE Life Event Administration at least 7 days prior to event for events 100 people. Th
Download Event Registration Form. This form is to be used to register all Student Life supported programs, activities and meetings. Worksheets must be submitted to the Office of Student Life, two (2) weeks in advance of the event. If you have any
Download UNE LIFE EVENT ADMINISTRATION, MADGWICK HALL. P: 02 6773 5705 E: [email protected]. UNE EVENT REGISTRATION FORM. *Must be lodged with the UNE Life Event Administration at least 7 days prior to event for events 100 people. Th
Download 3 or 4 Digit Security Code:______ Credit Card Billing Zip Code:______. EVENT REGISTRATION FORM. PROGRAM TITLE. EVENT CODE. EVENT DATE. PRICE *. TOTAL. If you need more space please duplicate this form. Please fax this completed form wit
Download ADULT REGISTRATION ($25) - PLEASE ENCLOSE PAYMENT WITH REGISTRATION FORM. CHILD CARE (BIRTH - 5 YEARS) - MUST SUBMIT HEALTH FORM - CHILD'S AGE: KIDS ASSEMBLY (K - 5th GRADE) - MUST SUBMIT HEALTH FORM - CHILD'S GRADE: YOUTH ASSE
Download Event Registration Form (previously the Liquor Permit Form). Event Manager Details. Name: Mobile: Email: Staff/student number: Event Details. Event name: Event location: Event start date: Event end date: Event start time: Event end time:
Download 2017 Corporate Challenge Event Registration Form & Roster. Please return completed forms to your Company Captain or designated representative. Company: Sport: Team Manager: Phone #:. Email Address: Initial team rosters must be turned i
Download Delegates with specific requirements. The IET aims to offer fully accessible events to all its delegates. Please help us to accommodate any individual requirements that you may have by attaching a note to the registration form. We will
Download 2017 Corporate Challenge Event Registration Form & Roster. Please return completed forms to your Company Captain or designated representative. Company: Sport: Team Manager: Phone #:. Email Address: Initial team rosters must be turned i
Download Delegates with specific requirements. The IET aims to offer fully accessible events to all its delegates. Please help us to accommodate any individual requirements that you may have by attaching a note to the registration form. We will
Download SOAR Event Signup feature for event registration. The Event Signup feature of your SOAR website is available in the Advanced Package and allows you to configure registration and payment for events. Scouts and parents can then login to
Download SOAR Event Signup feature for event registration. The Event Signup feature of your SOAR website is available in the Advanced Package and allows you to configure registration and payment for events. Scouts and parents can then login to
Download School Event Registration using the Events and Volunteer Management Tool. Schools hosting events can access the AFHK events and volunteer management tool within the school portal. Events tab to add events, register attendees, recruit v
Download School Event Registration using the Events and Volunteer Management Tool. Schools hosting events can access the AFHK events and volunteer management tool within the school portal. Events tab to add events, register attendees, recruit v
Download Advanced Registration. Manual. 4. Creating a New Event: • Click the Add New Event button. To create a new event, simply follow the tabs and fill in the information that is important to you. The only required fields are Title and. Start/
Download Before you can register for any CEDA event, you must login. Logging in allows you to manage your own contact information and your preferences for receiving CEDA information. It also means that your registration information will be pre-
Download Before you can register for any CEDA event, you must login. Logging in allows you to manage your own contact information and your preferences for receiving CEDA information. It also means that your registration information will be pre-
Download Advanced Registration. Manual. 4. Creating a New Event: • Click the Add New Event button. To create a new event, simply follow the tabs and fill in the information that is important to you. The only required fields are Title and. Start/
Download Legal Information Form & Event Registration. International Junior Branch (IJB-LIF ). (for International Junior Branch events only). This form is for all participants in the CISV IJB Event, regardless of role. This form is not for use for
Download Legal Information Form & Event Registration. International Junior Branch (IJB-LIF ). (for International Junior Branch events only). This form is for all participants in the CISV IJB Event, regardless of role. This form is not for use for
lists the name and address of everyone who is registered. By law, certain public organisations and people, including politicians, can receive the full register
EVENT REGISTRATION FORM
2014 Regional Assembly October 17-18 First Christian Church, Garden Grove, CA 11231 Chapman Ave., Garden Grove, CA 92840
REGISTRANT INFO: **Please note that all individuals attending the Regional Assembly must be registered (including young children and youth). Please use a separate form for each individual.
FULL NAME: EMAIL ADDRESS: HOME ADDRESS: LOCAL CONGREGATION: NAME AS TO APPEAR ON EVENT BADGE: PARENT/GUARDIAN IF A MINOR: CHECK ONE: ADULT REGISTRATION ($25) - PLEASE ENCLOSE PAYMENT WITH REGISTRATION FORM CHILD CARE (BIRTH - 5 YEARS) - MUST SUBMIT HEALTH FORM - CHILD’S AGE: KIDS ASSEMBLY (K - 5th GRADE) - MUST SUBMIT HEALTH FORM - CHILD’S GRADE: YOUTH ASSEMBLY (6th GRADE - 18 YEARS OLD) - MUST SUBMIT HEALTH FORM - YOUTH’S GRADE:
CHECK IF APPLIES: VOTING DELEGATE (REGIONAL BOARD MEMBER) - MUST SUBMIT SEPARATE VOTING REPRESENTATIVE FORM VOTING DELEGATE (CLERGY WITH STANDING) - MUST SUBMIT SEPARATE VOTING REPRESENTATIVE FORM VOTING DELEGATE (LOCAL CONGREGATION) - MUST SUBMIT SEPARATE VOTING REPRESENTATIVE FORM
WORKSHOPS (CHECK ONE PER SESSION) FRIDAY MORNING SESSION PostChristian with Christian Piatt Can We Talk? with Mildred Butler, et al Future Ministry with Spencer Burke Boldly Reaching the B-Way with Dale Suggs Hurt 2.0 with BJ Barlow SATURDAY MORNING SESSION PROK in Korean with Kim and Yang Plug-In Required with BJ Barlow (youth only) NBA Explor Young Adults Presentation Soulfull Spirituality with Wolfersberger & Terran Hospitality with Wilfredo Del Pilar 5 Paths to Hospitality with Spencer Burke
FRIDAY AFTERNOON SESSION Immigration with Xose Escamilla Native American Spirituality with Chief Daniel Moral Injury with Matt Harris Gloyer Convergent Worship with Mary J. Scifres Walking in Light with JoAnn Bynum Can You Hear Me Now? With Young Lan Kim
CONTINUED ON BACK
PLEASE CHECK ALL PERTINENT OPTIONS: I PERMIT MY PHOTO TO BE USED BY THE PSWR ONLINE AND IN PRINT OR: I DO NOT PERMIT MY PHOTO TO BE USED BY THE PSWR ONLINE OR IN PRINT I PERMIT MY NAME TO BE PUBLICIZED BY THE PSWR IN RELATION TO THIS EVENT OR: I DO NOT PERMIT MY NAME TO BE PUBLICIZED BY THE PSWR IN RELATION TO THIS EVENT I PERMIT MY NAME TO BE RELEASED TO THE GENERAL CHURCH IN RELATION TO THIS EVENT OR: I DO NOT PERMIT MY NAME TO BE RELEASED TO THE GENERAL CHURCH IN RELATION TO THIS EVENT I REQURE A HEARING ASSISTANCE DEVICE & REQUEST ONE TO BE AVAILABLE AT THIS EVENT I REQUIRE TRANSLATION ASSISTANCE & REQUEST IT TO BE AVAILABLE AT THIS EVENT MY PRIMARY LANGUAGE IS: SPANISH KOREAN ASL
PAYMENT DETAILS: Adult registration costs $25. All child care and programming for youth and kids is free for the 2014 Regional Assembly. Light continental breakfast and lunches are also free. Please submit your payment for adult registration to the Regional Office: PSWR REGIONAL OFFICE 2401 N LAKE AVE. ALTADENA, CA 91001 Make checks payable to “Christian Church PSWR”. In the memo of the check, please denote which registrant(s) the payment is for.
REGISTRATION DEADLINES: Registrations received after midnight October 11, 2014 will be processed on site on the day of the event. Please help us to best organize this event by registering early.