Friday Registration Form
Convention Diocese of Southwest Florida Annual Convention Friday, October 16, 2015 WORKSHOPS, LUNCH & DINNER PARTY REGISTRATION FORM Mail check payment and completed registration form to:
The Episcopal Diocese of Southwest Florida Att: Jan NothumRegistration closes Tuesday, October 15, 2013. 8005 25th Street East, Parrish, FL 34219 FAXED REGISTRATIONS WILL NOT BE ACCEPTED OR PROCESSED. This form can be used for single or multiple registrations from the same congregation.
WORKSHOPS, DINNER PARTY Registrations must be postmarkedLUNCH no later&than Friday, October 9th, 2015 Registration closes October 16, 2012 TYPE OR PRINT CLEARLY the names asTuesday, you wish them to appear on the name tag. Congregation: ___________________________________
City: ______________________________
Please enter workshop & lunch selections on the line corresponding to the attendee’s name. Lunch $15.00
Dinner $25.00
(Circle One)
(Y/N)
Workshop Selection First Name
Last Name
Session 1 Select (A/B/C/D)
Session 2 Select (A)
Session 3 Select (A/B/C/D)
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
Workshops
Friday $ Total
Session I (9:30 am -12:00 pm)
1A Vestry Papers
1B
1C
Creating Strong Youth Presence
Times of Change Navigation
(1:00 - 2:30 pm)
2A The Christian Faith of the Future – Brian D. McLaren
Session 3 (3:00 – 5:00 pm)
3A Disaster Planning
Session 2
3B LEV & LEM Training
3C Brian McLaren Q & A
1D Safeguarding All God’s People
3D General Convention 78
Friday Lunch Selection – Cookies and bottled water provided with each meal ($15.00 per person) 1. Smoked Sausage on Bun, German Potato Salad, Pretzels 2. Asian Chicken Salad (Mixed Greens topped w/wo Soy Ginger Chicken, Crackers) 3. Gluten Free Option – Pineapple, Blueberries, Strawberries on Mixed Greens, 3 Cheeses, Pumpkin Bread Tea Sandwich Friday Night Dinner Party at Hurricane Charley’s Restaurant– See Flyer for Menu ($25.00 per person) Note: If your are registering for both Friday and Saturday, please carry forward the “Friday $ Total” to the “Total” section at the bottom of the Saturday’s registration form.
The Episcopal Diocese of Southwest Florida Att: Jan NothumRegistration closes Tuesday, October 15, 2013. 8005 25th Street East, Parrish, FL 34219 FAXED REGISTRATIONS WILL NOT BE ACCEPTED OR PROCESSED. This form can be used for single or multiple registrations from the same congregation.
WORKSHOPS, DINNER PARTY Registrations must be postmarkedLUNCH no later&than Friday, October 9th, 2015 Registration closes October 16, 2012 TYPE OR PRINT CLEARLY the names asTuesday, you wish them to appear on the name tag. Congregation: ___________________________________
City: ______________________________
Please enter workshop & lunch selections on the line corresponding to the attendee’s name. Lunch $15.00
Dinner $25.00
(Circle One)
(Y/N)
Workshop Selection First Name
Last Name
Session 1 Select (A/B/C/D)
Session 2 Select (A)
Session 3 Select (A/B/C/D)
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
Workshops
Friday $ Total
Session I (9:30 am -12:00 pm)
1A Vestry Papers
1B
1C
Creating Strong Youth Presence
Times of Change Navigation
(1:00 - 2:30 pm)
2A The Christian Faith of the Future – Brian D. McLaren
Session 3 (3:00 – 5:00 pm)
3A Disaster Planning
Session 2
3B LEV & LEM Training
3C Brian McLaren Q & A
1D Safeguarding All God’s People
3D General Convention 78
Friday Lunch Selection – Cookies and bottled water provided with each meal ($15.00 per person) 1. Smoked Sausage on Bun, German Potato Salad, Pretzels 2. Asian Chicken Salad (Mixed Greens topped w/wo Soy Ginger Chicken, Crackers) 3. Gluten Free Option – Pineapple, Blueberries, Strawberries on Mixed Greens, 3 Cheeses, Pumpkin Bread Tea Sandwich Friday Night Dinner Party at Hurricane Charley’s Restaurant– See Flyer for Menu ($25.00 per person) Note: If your are registering for both Friday and Saturday, please carry forward the “Friday $ Total” to the “Total” section at the bottom of the Saturday’s registration form.
