Form

First name*

Last name*

Email*

Phone number*

Church name*

Your role at the church*

City*

State*

Will you need to stay at the hotel on Thursday, February 6th (GEM is covering)? Or do you have other housing arrangements?*

I need to stay at the hotel

I have other housing arrangements

Will you need additional nights (at your cost)?*

Yes

Will you be joining us for all 4 meals? (lunch, dinner, breakfast & lunch)*

Yes

If you answered no above, which ones will you be attending?

Food allergy?

Are you bringing someone from your church or your spouse? If yes, please have them register separately.*

Yes