Baptist Leadership Conference Camp Meeting Registration

August 28-31, 2022 | One registration per person. If you need to register a group, please contact the church office at 719.593.7887 or by email at dominique.miller@gbccs.com

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Home Church

*

Position

*

Please select all that apply.

Pastor Asst Pastor Pastor's Wife Asst Pastor's Wife Layperson Evangelist Missionary Full Time Christian Worker

Age Group

*

Please select all that apply.

Adult Single Teen

Childcare Needed for

*

Please select all that apply.

None 0-1 yr olds 2-3 yr olds 4-5 yr olds

Will you need lodging?

*

Please select all that apply.

No Yes Unsure

Will you be joining us for a continental breakfast on Tuesday and Wednesday mornings?

*

Please select all that apply.

Yes, both No, both Yes, Tuesday Only Yes, Wednesday Only

Individual Registration

Pay Now ($20) Pay Later ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

August 28-31, 2022

One registration per person. If you need to register a group, please contact the church office at 719.593.7887 or by email at dominique.miller@gbccs.com

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