Registration Form

phasetwo / phasefour

REGISTRATION FORM

phasetwo
and
phasefour


	YES		I / We plan to attend the next Appointee Orientation week Feb. 12-19, 2011
		phasetwo
		phasefour
	NO		I / We will not attend this Appointee Orientation, however I / we do hope to attend the following upcoming session:
Click here for more information to help you plan
Name *			Legal name
			nick-name (for nametag, if different from first name)

Ministry Area			TEAM will provide official nametags for your use in support development. Please include the ministry area name that you would like to have on the nametag. Some ministry areas are security sensitive. If you have a question, consult with your Ministry Area Leader.

Spouse			Legal name
			nick-name (for nametag, if different from first name)
Address*
Phone*
Cell-phone
E-mail*
Laptop	Yes No		I will bring a laptop to phasetwo/phasefour
PC or Mac	PC Mac
Wireless	Yes No		My laptop is Wi-Fi ready
Worship	Yes No		I can help lead worship (music)
Worship			I play an instrument

Children' s Names	Date of birth	Gender	Grade Summer attendees use the last grade completed

If you have any special needs or concerns you would like us to be aware of, please list them here. (Include allergies or special dietary needs.)

We would appreciate receiving this form as soon as possible.
If you have any questions, please email Centre for Lifelong Learning at:

Roger Luce

cell phone: 630.502.9065
home phone: 630.377.0598

Beth Wyse

cell phone: 630.244.1694

TEAM emergency phone:

630-614-4820
Outside of office hours, someone always monitors this number.