Walking with Jesus in the Wesleyan Spirit 2019

Who is filling out this form?
First Name
Last Name
Email
Who are the participants?
*First Name *Last Name Address 1 Address 2 City State Zip Phone *Email
Local Church

Please indicate your church's name, including the town.

District

If you are not a member of a United Methodist Church, please select "no answer." Otherwise, please indicate the district in which your church is located.

No answer
Cache
Kaskaskia
Embarras
Illinois
Iroquois
LaMoine
Mississippi
Sangamon
Spoon
Vermilion
*Registration: Walking with Jesus in the Wesleyan Spirit: Rochester UMC ($170)
*Lay Servant Ministries Credit

Are you a Lay Servant seeking continuing education credit for this course? If so, please answer "yes" so that we can provide you with information regarding assignments. All others, please answer "no."

Yes
No
Child Care

Please indicate the name and age of each child for whom you will need child care. Once your registration is received, you will be sent a separate form to complete and return to provide additional details. If you do not require child care, please leave this item blank.

Special Needs

Please indicate any dietary or other special needs of which we should be aware to enable your full participation in this series.

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