Love & Respect Registration

Attendee 1*

First NameLast Name

Attendee 2

First NameLast Name

Where are you joining us from?

Example: Glasgow, MT

E-mail*

example@example.com

Phone Number*

Number of children needing childcare*

* $10 / child. Spots are limited.

Name and age of child 1

Name and age of child 2

Name and age of child 3

Name and age of child 4

More than 4? Let us know in "Additional information"

Children allergy information

Additional information

Anything else you'd like us to know?

Cost & Payment Details:

Cost:

Pre-Registration: $80 per couple (until Nov 7)
After Nov. 7th / at the door: $120 per couple
Childcare: $10 per child (includes meals and activities) *Childcare spots are limited

Payment:

After adding up your total, please send payment by using one of the following options.

Option 1: Cash or checks may be dropped off or mailed to the church office. You can stop in during office hours or use the mail slot on the wooden office doors.
- Please make checks out to "Glasgow Evangelical Church"
- Place payments in a sealed envelope labeled with your name and event.

Option 2: Send payment via PayPal to @bradmarlenee or by scanning the QR code below.

Payment option*

Cash/check dropped off at GEC officeCash/check mailed to GEC officePayPal to Brad Marlenee