2010 Registration Form

Saturday, September 11, 2010
McLean Bible Church
8925 Leesburg Pike
Vienna VA, 22182-1742

Pre-registration deadline has been extended! Please use the pre-registration rate until the day of the event.

Church Name: Church City:
Contact Person: Contact Phone:
Contact E-mail:

Registration Type # Registering Fee Total
Pre-Registration:
One Senior Pastor (per church):  X $0 = FREE
Conference Attendee:  X $30 = $
Late / On-Site Registration:
Conference Attendee:  X $40 = $
Total Fee: $

Awana Ministry Conference Registration
Church Name

Leadership Attendance Plaque Information
(If 70% of your Awana leaders are registered to attend the conference, you earn the plaque):
How many Awana Workers (Commander, Director, Leader, etc.) are there in your Awana Club?
How many people (Awana Leaders and children's workers) will be attending?
Will your Senior Pastor be attending?

REGISTRATION INFORMATION

------------------------------------- For Event Coordinator Use Only -------------------------------------
Date Received: Check #: Amount:

MAIL REGISTRATION TO: