Registration Form - Missions Connection Celebration (Mc2) Page 2

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Registration Form
Missions Connection Celebration (MC2)
July 24-28, 2017
General Information
Church Name:
Church Address:
City:
State:
Zip Code:
Church Phone:
Church Fax:
Contact Person:
Contact Address:
City:
State:
Zip Code:
Contact Email:
Contact Phone:
Where do you want your correspondence from Eagle Eyrie sent?
Church Address
Contact Address
Can your church provide transportation to mission/service project sites in the Greater Lynchburg Area?
Yes
No
Number of people that you can transport by:
Van
Bus
Personal
Total number of registrants in your group
(all adults and children/youth included)
Group Registration Details
Is your church a Baptist General Association of Virginia church?
Yes
No
Total reservations for this group (register individually below):
Males:
Females:
Children (ages 3-8):
Children (under 3):
Meals for children under 3?
Yes
No
st
nd
rd
Indicate 1
, 2
, & 3
choice of accommodations:
Voight Center
Cedar Crest Hotel
Lodge
For Lodges (check one):
Hotel Basis
Rental Basis
Owner Basis
For Rentals/Owners: Meals?
Yes
No
Linens?
Yes
No
Would you like for your group to participate in the Monday evening picnic at $5/per person?
Yes
No
Would your group like to go to Funquest on Thursday afternoon at a cost of $8 per person (includes skating, skate rental, and one
game of laser tag)?
Yes
No

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