Rocky Mountain Ladies Conference 2025
April 25, 2025, 1:00 - April 26, 2025, 12:30 | MUST REGISTER each delegate individually on this form.
If you would like to register and pay as a group, please email Tracy Willard at miketracy90@gmail.com.
Please fill this form completely and click submit.
Looking forward to seeing you soon.
Name
*
Are you a Senior Pastor's wife
*
Please select all that apply.
Yes
No
If yes, how many years have you been a Pastor's wife? If no, please put a zero.
*
Are you your church's MAIN pianist?
*
Please select one option.
Yes
No
If yes, how many years have you played for your church? If no, please put a zero.
*
Would you like to play in the Conference Orchestra?
*
Please select one option.
Yes
No
If no, put none. If yes, pick the instrument you will be playing from the list.
*
Please select one option.
None
Violin
Viola
Cello
Double bass
Trumpet
Cornet
Trombone
French Horn
Tuba
Flute
Piccolo
Clarinet
Oboe
Bassoon
Baritone
Saxophone
Xylophone
Harp
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Email
*
This address will receive a confirmation email
Name of your church?
*
Your church address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Registration
Early Registration ($25.00)
GBC Ladies ($10.00)
Early Registration ($25.00)
GBC Ladies ($10.00)
Amount
Is Attendee
*
Please select one option.
Adult
Single (18-35)
7th-12th Grades
5th-6th Grades
A mid-day snack will be provided on Friday's break between sessions. Please eat breakfast at hotel on Saturday. We will provide a mid-morning light meal between sessions.
Please select one option.
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
April 25, 2025, 1:00 - April 26, 2025, 12:30
MUST REGISTER each delegate individually on this form.
If you would like to register and pay as a group, please email Tracy Willard at miketracy90@gmail.com.
Please fill this form completely and click submit.
Looking forward to seeing you soon.
×
Please Fix the Following