EmailMe Form - GROW Registration Form

CBM area/camp or sending mission organization *

Name *

First Middle Last

Male/Female *

Male

Female

Birthday *

MM / DD / YYYY

If you are married, will your spouse attend with you? *

Spouse's name

First Middle Last

Spouse's birthday

MM / DD / YYYY

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Preferred contact method *

Home phone

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

Cell phone *

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

Email *

Facebook name, if applicable

Is this your first full-time ministry position? *

If no, please explain

Which course are you registering for? *

Dietary needs and restrictions of which we should be aware:

Will you be bringing your children? *

Childcare is not guaranteed. Please inquire with us regarding this, if it will prohibit you from attending.

If yes, please list their names and ages below:

Date/time of arrival *

MM / DD / YYYY HH : MM AM/PM

Check-in is from 4:00-5:00pm, EST

Date/time of departure *

MM / DD / YYYY HH : MM AM/PM

Check-out is at 11:00am EST

How will you be submitting payment? *

Online at continuetogive.com/cbm

I am mailing a check

The CBM Area that is sending me will be sending a check

CBM Missionaries

$275.00 for a single person and single occupancy
$500.00 for a couple

Non-CBM Missionaries

$300 for a single person and single occupancy
$550 for a couple

Do you have any physical limitations? *

yes

no

If so, please explain. (for housing purposes)

If single, are you willing to share a room with someone you don’t know?

Yes

No

Notes/Questions