APRIL 23-24, 2008
HOUSTON, TEXAS
Hosted by:
Kay Irvine
Resurrection Lutheran Church
1612 Meadow Edge Ln.
Spring, TX 77388
281-353-4413
NAME FOR CERTIFICATE ___________________________________________
NAMETAG _______________________________________________________
PLACE OF SERVICE_______________________________________________
POSITION_______________________________________________________
ADDRESS_______________________________________________________
_______________________________________________________________
BUSINESS PHONE________________________________________________
HOME PHONE___________________________________________________
EMAIL ADDRESS_________________________________________________
CHECK WHICH CEU CREDIT YOU WISH TO RECEIVE:
___ 1.5 CEU'S ATTENDING SESSIONS ONLY
___ 2.0 CEU'S ATTENDING SESSIONS, READING THE BOOK JESUS ON LEADERSHIP
AND COMPLETING A PRE-ASSIGNMENT
MAY 21-28, 2008
ALASKA CRUISE SEMINAR
NAME FOR CERTIFICATE ___________________________________________
LEGAL NAME ON PASSPORT________________________________________
PASSPORT NUMBER____________________DATE OF EXPIRATION__________
BIRTHDATE______________________________________(MONTH, DAY, YEAR)
LEGAL NAME OF GUEST____________________________________________
PASSPORT NUMBER___________________DATE OF EXPIRATION__________
BIRTHDATE_____________________________________(MONTH, DAY, YEAR)
NAMETAG _______________________________________________________
PLACE OF SERVICE_______________________________________________
POSITION_______________________________________________________
ADDRESS_______________________________________________________
_______________________________________________________________
BUSINESS PHONE________________________________________________
HOME PHONE___________________________________________________
EMAIL ADDRESS________________________________________________
EMERGENCY CONTACT :
NAME_______________________________RELATIONSHIP______________
PHONE NUMBER________________________________________________
SPECIAL DIET OR FOOD REQUESTS________________________________
WILL YOU BE CELEBRATING AN ANNIVERSARY OR BIRTHDAY? CHECK
ONE OF THE FOLLOWING:
___BIRTHDAY NAME__________________________________
___ANNIVERSARY DATE_______________________________