Indianapolis Great Banquet - Reservation Request

The Indianapolis Great Banquet is a three-day experience of renewal, learning, and sharing in the atmosphere of a Christian Community. It is a different experience for each individual. It does not provide a climate for the solution of deep-seated problems but is designed to help mature people to work toward a Christian way of life with community support.

Preferred Weekend: *

Your Sponsor's Name: *

First Name Last Name

Your Name *

First Name Last Name

First Name for Nametag *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Home Phone *

Area Code Phone Number

Cell Phone *

Area Code Phone Number

Email *

example@example.com

Age *

Number of Children *

Martial Status *

What is your present occupation? *

Work Phone *

Area Code Phone Number

Name of church you are currently attending: *

In what religious or community organizations are you active? *

Has the Great Banquet been explained to you? *

YES NO

Are you on special medication? *

YES NO

Are you on special diet? *

YES NO

If "YES", please explain: *

Please provide the name and phone number of a spouse or relative we can contact if necessary.

Name *

First Name Last Name

Phone Number *

Area Code Phone Number

State why you wish to be involved in the Great Banquet and what you expect from it.

Your response: *

This form is an application and its submittal does not gurantee acceptance. You may be placed on a waiting list since we have a limited number of spaces for each banquet.

There is no charge for the weekend, but we do request a $10.00 registration fee (make checks payable to Second Presbyterian Church). This fee should be given to your sponsor for mailing to:

Indianapolis Great Banquet
Second Presbyterian Church
7700 N. Meridian St
Indianapolis, IN 46260