Indianapolis Great Banquet - Reservation Request

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 NameLast Name
Your Sponsor's Email:*
example@example.com
Your Name*

First NameLast Name
First Name for Nametag*
Name You Prefer to Be Called
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone*

Area CodePhone Number
Mobile Phone*

Area CodePhone Number
SMS Consent

Yes, Please Text MeNo, Please Don't Text Me
By selecting YES, you are giving the Indianapolis Great Banquet permission to send you text messages at various times with information regarding the community and our events. Messaging and data rates may apply. Reply HELP for help and STOP to opt out. View our SMS Privacy Policy and SMS Terms and Conditions.
Work Phone*

Area CodePhone Number
Preferred Phone*

HomeMobileWork
Email*
example@example.com
Birth Date*

MonthDayYear
Birthdate
Age
Number of Children*
Martial Status*
What is your present occupation?*
Name of church you are currently attending:*
In what religious or community organizations are you active?*
Has the Great Banquet been explained to you?*

YESNO
Do you have a medically necessary dietary restriction?*

YESNO
If "Yes", please select your needed diet preference for the weekend : *
If "YES", please explain:*
Please provide the name and phone number of a spouse or relative we can contact if necessary.
Contact Name*

First NameLast Name
Contact Phone Number*

Area CodePhone 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.
Status
Reg. Date

MonthDayYear
Date
Should be Empty: