Three Years in Ministry Reg.

Class of 2015
April 4-6, 2018

Please register by submitting this form. Deadline for registration: March 21, 2018.

Full Name

First Name Last Name

Home Address

Congregation

Work Address

Home Phone

- Area Code Phone Number

Work Phone

- Area Code Phone Number

Cell Phone

- Area Code Phone Number

Home Email

Work Email

Spouse's name

Will your spouse join you for the Three Year Reunion?

Yes No

If Yes, will your spouse attend continuing education programing at the reunion?

Yes No

If yes, will your spouse attend the Wednesday night social time?

Yes No

Will your children attend the reunion?

Yes No

Names and ages of children attending.

Please indicate the number of people from your family (including yourself) who will be joining us for lunch on campus.

Wednesday

Thursday

Friday

Please list any dietary restrictions: