2026 National Chautauqua Registration Form

2026 National Chautauqua Registration Form Orlando, Florida

Mother Delores Washington, Chautauqua Registration 816 Claire View Drive Desota, TX 75115 Phone: 214-212-5201 Email: dlwashington61@icloud.com
Name

PrefixFirst NameLast Name
Spouse

PrefixFirst NameLast Name
List additional Names and Ages Below
Department
ASOW, Evangelistic, Youth, Music, EDSNSOP
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
District Number and Apostle
Registration
prevnext( X )
2026 Chautauqua Adult
Registration Includes:

Unity Luncheon: Monday, July 20 TBA

E. Bernice Scholarship Banquet: Thursday, July 23 TBA

$200.00 Quantity
Item subtotal:$0.00



Youth Banquet Ticket
E. Bernice Scholarship Banquet

Ages 13-18 (to include registration)

$60.00



Youth Banquet Ticket
E. Bernice Scholarship Banquet

Ages 7-12 (to include registration)

$40.00



Youth Banquet Ticket
E. Bernice Scholarship Banquet

Under 5 (to include registration)

$20.00



Senior Appreciation Luncheon
With Full Registration

Monday, July 20, TBA

Free Quantity



Total

$0.00
Ways of Payment

*Zelle: Triumph.Chautauqua2024@gmail.com

CashApp: $Chautauqua80

Please mail your check or money order to:

Mother Dolores Washington, Chautauqua Registration

816 Claire View Dr., DeSoto, Texas 75115

Contact Number: 214.212.5201

Email: dlwashington61@icloud.com
Please indicate payment method (Choose one)
Check Number
Money Order Number
Rate Online Registration
Should be Empty:

2026 National Chautauqua Registration Form Orlando, Florida

Registration*

Registration