Faith Enrichment Conference Registration

PLEASE read the registration brochure before completing this form. Each adult attending the conference should complete a separate registration form.

Contact Information

Name as you would like it to appear on your badge(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Church(Required)

Workshop Registration

Indicate whether or not you will attend the first and second sessions of workshops. If you will be, please indicate your first and second choice for each session by typing the workshop number in the corresponding space. Choose from the workshop numbers listed in each group.

Workshop 1A-6A Friday Evening - 8:00-9:00pm

Will you be attending the first session of workshops?(Required)

Yes

1st Choice(Required)

2nd Choice(Required)

Workshop 7B-12B Saturday Morning – 8:15-9:15am

Will you be attending the second session of workshops?(Required)

Yes

1st Choice(Required)

2nd Choice(Required)

Are you staying for Session 3, The Connected Church at 1pm Saturday(Required)

Yes

Housing Information

Roommate - Full name, they must fill out a separate registration form.

First Last

If you are choosing a double, please arrange for your own roommate.

Special Hotel Needs (Handicapped, etc.)

Please note, there are elevators in all motel buildings.

Kids Camp Registration

Please complete the following information for each child attending between the ages of six months through 5th grade. If you are coming with a second adult, do not duplicate this information on their registration form.

Children

Child Full Name

Birthdate

Grade

Conference Fees

Please mark the fees according to the deadline met. Each adult in each room will pay the listed amount. For example, if two people are sharing a double, registering by January 1st their combined cost will be $320. Call if you have a question. 1-800-616-3671

Commuter Fee

Double Room Rate per adult in room. You MUST specify a roommate above.

Single Room Rate (one adult)

Kid’s Camp - $40/child

Price: $40.00

I’d like to stay in Robertson Inn for an additional fee.

Total

After clicking the Submit button you will be redirected to the payment page to make your online payment of the above total.

Phone

This field is for validation purposes and should be left unchanged.