FALL CONFERENCE 2009

REGISTRATION FORM

Title
First Name
Last Name
eMail
Address

City
Province
Country
Postal Code
Home Phone
Work / Cell Phone
Church Name
Church City
Babysitting Required?	Yes
Please list allergies, health concerns, if applicable:
Billeting Required?	Yes
Please list allergies, health concerns, if applicable:
Do you receive mail at your home from the RCA?	Yes
Do you receive the Church Herald at your home?	Yes
Afternoon Workshop Options : :	MISSION : Nancy Drost PRAYER : Joanne Radstake SHARING YOUR STORY : Debbie Van Hoeve PERSONAL DISCIPLESHIP : Christina Labbe Leadership I am willing to be a volunteer for Women’s Ministries in my church I am willing to be a volunteer for the Design Team.