EmailMe Form - 2020 National Conference Registration Form

Name of person completing form *

CBM Area *

Phone

### - ### - ####

I would like to help at Conference in this way

Adult 1 Name *

First Last

Male/Female

Male

Female

Email *

Shirt size *

Adult 2 Name

First Last

Male/Female

Male

Female

Email

Shirt size

Adult 3 Name

First Last

Male/Female

Male

Female

Email

Shirt size

Adult 4 Name

First Last

Male/Female

Male

Female

Email

Shirt size

Total cost for adults
(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Please list up to six roommates (ages 18+); they must request you:

Single occupancy is not available

Rommmate request

Roommate request

Does anyone in your group have physical limitations? *

Yes

No

If yes, please explain

Children:1- Name

First Last

Shirt size children

Age at time of conference

Price

(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Children: 2-Name

First Last

Shirt size children

Age at time of conference

Price

(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Children: 3-Name

First Last

Shirt size children

Age at time of conference

Price
(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Children: 4-Name

First Last

Shirt size children

Age at time of conference

Price

(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Children: 5- Name

First Last

Shirt size children

Age at time of conference

Price

(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Children: 6-Name

First Last

Shirt size children

Age at time of conference

Price

(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Children: 7- Name

First Last

Shirt size children

Age at time of conference

Price

(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Children: 8-Name

First Last

Shirt size children

Age at time of conference

Price

(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Children: 9-Name

First Last

Shirt size children

Age at time of conference

Price

(Prices can be found under the pricing tab at: https://childrensbibleministries.net/national-conference.)

$ Dollars . Cents

Total cost for all attendees (adults plus children)

CANCELLATION POLICY: For any cancellations after January 31st, 2020, attendees cancelling are still responsible for paying the full Conference cost (as CBM is responsible to Sandy Cove for this amount), also no refunds are available for any payments made prior.

$ Dollars . Cents

Date of arrival

Conference Registration is on Thursday, September 3rd from 4:00pm-5:30pm.

MM / DD / YYYY HH : MM AM/PM

Time of departure

Conference ends after Breakfast (7:30am-9:00am) on Sunday, September 6th.

MM / DD / YYYY HH : MM AM/PM