![]() | KAIROS: CANADIAN ECUMENICAL JUSTICE INITIATIVES
CAMBRIAN-AGASSIZ REGION - REGIONAL MEETING
at Laureate's Landing, 100 Place Villa Maria, St. Norbert (South of perimeter - Pembina Highway)
|
Please bring information/display to share your group social justice work.
Cost: Overnight participants - $50 | Saturday only - $20
TO REGISTER BY E-MAIL
cut and paste everything below the horizontal line into an e-mail, fill in your info in the e-mail
and send to ilchyshyn@mts.net
To print instructions on how to cut & paste into an e-mail click here
REGISTRATION FORM
NAME:
ADDRESS:
Day Phone:
Evening Phone:
Fax:
E-mail:
I will attend the meeting as:
_____Kairos Committee Rep
Committee Name:
_____Faith group/denom Rep
Denom/Faith Group Name:
_____Other: (State what)
Will you stay overnight Friday at the Centre? ___Yes | ___No
Are you a smoker? ___Yes | ___No
Any special dietary needs? ___Yes | ___No
If yes, state details below.
Will you need picking up from airport, bus station or other? ___Yes | ___No
If so, from where and when?
Are you willing to share a room? ___Yes ____No
Will you bring a display? ___Yes | ___No
If so will you need a table? ___Yes | ___No
Will you attend the entire event? ___Yes | ___No
If not, what parts will you attend?
Do you play an instrument and are willing to help with worship or entertainment/
Will you eat all meals at the centre? ___Yes | ___No
If not, indicate which ones you will take there.
Will you need child care? ____Yes | ____No
If so, state under "comments" below, the number of children, age, gender and any special needs
Expenses
Please save travel receipts for gas, bus or plane fare.
Please indicate your interest in participating in any of the following working groups:
____Setup
____Registration
____Music
____Worship Sat am
____Worship Sat pm
____Cleanup
Comments or Questions: