2019 District Council Group Registration

2019 District Council and/or Momentum Group Registration
April 8-10

James River Church South Campus
Choose One Option*

Momentum OnlyMissions Banquet OnlyDistrict Council and/or Combination of Other Events (Momentum, Luncheon, Missions Banquet)
Contact Email*

e-Signature Delegate Form

105th District Council April 8-10
Reminder: Your church is allowed one delegate as stated in the District Bylaws.

A Delegate must be someone who does not hold credentials.
Church*
City*
Delegate Name - as you want it to appear on your name tag*
is the authorized delegate from our church for the 105th Annual District Council of the Southernnnnn Missouri District which will be held at: James River Church South Campus, Ozark, MO.
Pastor or Board Secretary Signature*

Clear
YOU MUST INCLUDE YOUR DELEGATE ON THE NEXT PAGE OF THIS REGISTRATION. THEY WILL NOT BE FULLY REGISTERED OTHERWISE.

2019 District Council and/or Momentum Group Registration