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Synod of the Trinity 2005 Annual Conference
Monday, June 27 to Friday, July 1, 2005

Online Registration Form

Part 1 - Adults to Youth (finishing 7th Grade)
Registrant # 1
Your Status
Commuter?
First Name
Last Name
Address
City
State
Zip
Sex
Day Phone
- -
Evening Phone
- -
Email
Your Home Church
Your Home Presbytery
Room Type
Roommate Preference
Mission Trips - Offsite
First Choice
Second Choice
Workshops - Onsite
Choices
Worship and Music - 2 Day
Domestic Violence 101 - Tues PM
A Framework for Understanding Poverty - Wed PM
Health Kits for Disaster Relief - Tues AM
WVMAW - Disaster Response Workshop - Wed AM
Mission Church Initiative - Tues PM
Prayer Shawl Ministry - Wed PM
Basic Mediation Training
Registrant # 2
Your Status
Commuter?
First Name
Last Name
Address
City
State
Zip
Sex
Day Phone
- -
Evening Phone
- -
Email
Your Home Church
Your Home Presbytery
Room Type
Roommate Preference
Mission Trips - Offsite
First Choice
Second Choice
Workshops - Onsite
Choices
Worship and Music - 2 Day
Domestic Violence 101 - Tues PM
A Framework for Understanding Poverty - Wed PM
Health Kits for Disaster Relief - Tues AM
WVMAW - Disaster Response Workshop - Wed AM
Mission Church Initiative - Tues PM
Prayer Shawl Ministry - Wed PM
Basic Mediation Training
Part 2 - Children and Youth
Youth # 1
First Name
Last Name
Sex
Grade Completed
Birthdate
Youth # 2
First Name
Last Name
Sex
Grade Completed
Birthdate
Youth # 3
First Name
Last Name
Sex
Grade Completed
Birthdate
Special Needs or Requests
Click Submit button when form is completed
Registration Fee is $50.00 per person

Checks are to be made payable to The Synod of the Trinity and mailed to:

Synod of the Trinity
ATTN: Summer Conference 2005
3040 Market St.
Camp Hill, PA 17011

Questions??? Contact Conference Coordinator Mary Speedy at mspeedy@adelphia.net
Confirmation materials will be mailed.
The Synod of the Trinity, 3040 Market Street, Camp Hill PA 17011-4599
Telephone (717) 737-0421 Toll Free (800) 242-0534 Fax (717) 737-8211
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