2011 Registration Form

Saturday, October 15, 2011
Grace Baptist Church
7210 Racetrack Rd.
Bowie, MD 20715

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

Registration Type	# Registering	Fee	Total
Pre-Registration: (Prior to October 7)
One Senior Pastor (per church):	X	$0 =	FREE
Late / On-Site Registration: (After October 7)
Conference Attendee:	X	$40 =	$
Total Fee:			$

Awana Ministry Conference Registration

Registration $40.00

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.) serve in your Awana Club?
How many people (Awana Leaders and children's workers) will be attending?
Will your Senior Pastor be attending?

REGISTRATION INFORMATION

• Check-in begins at 8:00 am, sessions begin at 8:45 am (Coffee & donuts will be provided during registration. Lunch is included in registration fee)
• In response to numerous requests, we have partnered with PayPal to provide online credit/debit card payment options for this year's conference. If you would like to pay online, please click on the 'Pay Now' button above, change the quantity to reflect the number of attendees, and enter the appropriate payment information. Please also note the church that is registering and if you are bringing a pastor in the notes field (in the confirm order section of the process).
  If you would like to continue to pay by check, complete the form as normal (or use the print friendly version) and mail to the address below. Please direct question or problems with the online payment option to the webmaster.

• Make all checks payable to Awana. Registration fees are non-refundable.

Bill and Judi Bianco 15904 Perkins Lane Bowie, MD 20716 301-249-1765