M-PACT / CW Registration Form

Please fill out the following information for all attending and click send

Registration deadline for Montana Pastors needing hotel is February 15th.

Name:                Which track will you be attending? MPACT       CW

Spouse Name:   Which track will you be attending? MPACT       CW

Full Address:   

Phone:                         Email:       

Church:              Association: Big Sky Glacier Baptist HiLine Baptist Treasure State Baptist Triangle Baptist Yellowstone Baptist

           Are you a current MTSBC pastor?     Yes    No

If a Montana Pastor, is a hotel room needed for March 4-5th, 2010?

Yes    No    Amount in room?

REGISTRATION FOR CHILDREN/CHILDCARE

Child's Name(s): (place a comma between each child's name)

Childcare Needed?  Yes   No                      Child's Age(s) needing childcare: (place comma between each)