RURAL COMPASSION REGISTRATION FORM

Pastor's Name

Church Leadership Position Church Leadership Position Lead Pastor Associate Pastor Youth Pastor Children's Pastor Missions Pastor Worship Pastor Volunteer Deacon

Spouse's Name

Is Your Spouse Interested Attending? Is Your Spouse Interested Attending?YesNo

Church Name

How Many Guests Will You Be Bringing (Other Than Yourself and Your Spouse)? How Many Guests Will You Be Bringing (Other Than Yourself and Your Spouse)?012

Street Address

Address Line 2 (Apt. #, Room #, Etc.)

City

State

Country

Email Address

Phone Number (Mobile Preferred)

Which Event? Which Event?C2 Church (Columbia, MO) | 06.30.2018Crown Pointe (Lee's Summit, MO) | 08.04.18Faith Community (House Springs, MO) | 10.27.18