Camp Meeting Registration Form

Camp Meeting Registration Form 2019

Please fill in the form below.
***E4N Ministers (this includes their congregation - if E4N minister is a Pastor), their spouses, and children 12 under are free. For Non-E4N ministers it is a $30 Registration Fee.
Personal Information
Full Name*

PrefixFirst NameLast Name
Date of Birth

MonthDayYear
Phone Number*

Area CodePhone Number
E-mail*
How Many People will attending with you?
**Number of people you are bringing with you to Camp Meeting.
Number of Adults Coming with You To Camp Meeting
Number of Youth Coming with You To Camp Meeting
Address Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you an E4N Minister*

YesNo
Do you have a leadership role in the church?*
Missions Meal
**The Missions Meal is provided by the Ephesians 4 Network Conference. It is reserved for Pastors, Spouses, and Senior Staff.
WIll you be attending the Missions Meal?*

YesNo
If so how many? Please insert names and details.
Church/Ministry Information
Church Name/Ministry Name*
Church/Ministry Website
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Senior Pastor
Youth Pastor
How did you hear about us?*

FacebookGoogleFriendOur OfficeE-MagazineOther
Are you bringing any additional members with you? (i.e family, staff, etc)*

YesNo
**Children 12 and under are free for the conference. Children 10 and Under are $30 for Meal Ticket
Registration Fee
prevnext( X )
Registration (For Non-E4N Ministers Only)$30.00

Meal Ticket (11 and Older)$50.00

Quantity

Meal Ticket (10 and Under)$30.00

Quantity

Ladies Luncheon$20.00

Quantity

Men's Luncheon$20.00

Total $0.00
***E4N Ministers (this includes their congregation - if E4N minister is a Pastor), their spouses, and children 12 under are free. For Non-E4N ministers it is a $30 Registration Fee.
Just so we know you aren't a robot*
Should be Empty:

Camp Meeting Registration Form 2019

Personal Information

Address Information

Missions Meal

Church/Ministry Information