To register:  In order to have enough materials available, we must know that you are coming. Please fill out the registration form enclosed and return it to us.  Thank-you

Instructions: Print this form on your printer.  Fill out as appropriate.  Send the completed form to:   John Clayton, 1555 Echo Valley Dr., Niles, MI  49120

Address: _________________________________________

City/St/Zip: _______________________________________   Phone: ____ - ____ - _______

Address: _________________________________________

City/St/Zip: _______________________________________   Phone: ____ - ____ - _______

Address: _________________________________________

City/St/Zip: _______________________________________   Phone: ____ - ____ - _______

Address: _________________________________________

City/St/Zip: _______________________________________   Phone: ____ - ____ - _______

Address: _________________________________________

City/St/Zip: _______________________________________   Phone: ____ - ____ - _______

Address: _________________________________________

City/St/Zip: _______________________________________   Phone: ____ - ____ - _______

Address: _________________________________________

City/St/Zip: _______________________________________   Phone: ____ - ____ - _______

Will you need a babysitter during the daylight hours? If yes, give names and ages of the children.
 
 
 
 
 
 

Do you need a list of motels or campgrounds?  If so, please check which you need:
 
 

What is your primary role in the church? (please check those choices that apply)
 

___	Preacher	___	Elder	___	Deacon
___	Personal worker	___	Teacher	___	Prison ministry
___	Family ministry	___	Care ministry	___	Interest member
___	Not a member of the church