Awana Ministry Conference
Registration Form 2011

Are you registering as a church group or as an individual? Church Individual

Church Name:
Name:
Address:
City:		State:		Zip:
Phone:		Email:

Check the conference you will attend:

October 1, 2011
	First Evangelical Free Church, Manchester, MO
October 8, 2011
	Southridge Baptist Church, Jefferson City, MO

Time: 8:00 a.m. - 4:00 p.m.
Registration Due: September 19, 2011

Awana Ministry Conference (Enter number registering in each category)

	Individual Registration Fee $25.00 per person
	Late Registration Fee or at the door $40.00 per person
	Full-time Pastors no charge (only 2 allowed per church)

Total Number of People Registering
Total Registration Fee being sent $

Registration is not complete until registration fee is received!

Registration Instruction!
The Registration Fee is non-refundable and this form must be in by the due date or pay the late registration fee. No refunds will be given for cancellations, however registrations are transferable.

If you prefer to mail your registration, click here for a printable form