2026 General Assembly of the Church of God in Indiana
Monday, October 5, 2026 - 9:00am at Church at the Crossing, Indianapolis
Lay Delegate Confirmation
Section 2000 B of Indiana Ministries’ bylaws stipulates that membership includes lay delegates from all congregations based on average a.m. attendance as listed in the current Yearbook of the Church of God. Using the following formula, please complete the following information for all elected or appointed individuals who will be representing your congregation at the 2026 General Assembly of the Church of God in Indiana. Note: Lay delegates must be registered in order to vote at the General Assembly.
Select the applicable attendance (based on weekly attendance) option for your congregation:
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Up to 100: 1 delegate
101-400: 2 delegates
401-700: 3 delegates
701-1000: 4 delegates
1000+: 5 delegates
Church Name
*
Church City
*
As Pastor or Board Chair, in signing below, I signify that these individuals have been elected or ratified to represent our congregation as lay delegates at the General Assembly of Indiana Ministries of the Church of God on October 5, 2026.
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First Name
Last Name
Layperson 1
*
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Layperson 2
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Layperson 3
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Layperson 4
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Layperson 5
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: