Registration

First Name: Last Name:

Age:

Baptised

Male Female

Street Address:

City:

Province/State:

Postal/ZIP Code:

Phone #:

E-mail Address:

Ecclesia:

Please checkmark all of the following that you would be willing to serve with:

Play the piano on Saturday or Sunday

Cabin leader (must be baptised)

Do a Reading (must be baptised brother)

Do a devotional (must be baptised brother)

I need to be picked up from the Vancouver or Seattle Airport

I need to be dropped off at the Vancouver or Seattle Airport

Important!! Emergency Contact Information Gaurdian's First and Last Name: Gaurdian's Telephone Number (with area code): Allergies and/or Special Medication:

Please enter any questions or comments below:

Please double-check your work. Once you click the "submit" button, you cannot edit your registration.