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New Ministers' Orientation Registration

New Minister's Orentation
September 23-24, 2010

Title





First Name:
Middle Name:
Last Name:
Preferred Name:
Staff Position:
(Choose One):


Beginning Date (MM/DD/YY):
Church Name:
Mailing Address:
Street:
City:
State:
Zip Code:  
Association:
Phone Number(Day):
Phone Number(Evening):
Cell Phone:
Email Address:  
Spouse Name:
Please check all that apply:




If new to Georgia, What state are you coming from?:
If you are a new State Missionary, what ministry area are you working in?:
If newly ordained please provide ordination date:
I will attend New Ministers' Orientation September 23-24, 2010:

I will attend the Orientation Banquet Thursday evening 9/23/2010:

I will commit to participate in the Friday outing 9/24/2010:

Spouse will attend: (check all that apply):


Do you Need childcare? (birth - kindergarten only):

How many children?:
Childcare will be provided Thursday 9/23 only. Please give us the Names, Ages, and Birthdates of your children attending:
Do you need lodging for the New Ministers Orientation?:

If lodging is needed, what room type is most suitable?:


I am attending by myself and I am available to share a room with another minister:

Roommate's Name (if known or applicable):
Do you have any special needs?: