MISSION HOUSE REGISTRATION FORM
Registration Form
Mission House at Point Lookout
Date of Arrival *
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Time of Arrival *
Time
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Date of Departure *
MM
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DD
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YYYY
Time of Departure *
Time
:
Name *
Your answer
Ministry position *
Church, Speaker, Organization or Missionary
Your answer
Church or Ministry Organization *
Your answer
Purpose for your stay *
Your answer
Address *
Your answer
Email address *
Your answer
Phone *
Your answer
We are with a Tri County Baptist Association Church *
Number of persons in group (Children 5 and under no charge) *
The Mission House will sleep a total of 19 persons. Tri County Pastors and their Spouses & Immediate Family: No Charge (Donation for cleaning requested) Tri County Churches and Groups: Motel Rooms: $10 per person per night Studio Apt. $15 per person per night NON Tri County Churches and Groups: Motel rooms $25 Per person per night Studio Apt $30 per person per night
Your answer
All minor children (under age 18) staying at the Mission House will be accompanied by a parent or legal guardian. *
If no, please give numbers of minor children and adults. (Required)
Your answer
I have read and agree to the Mission House policies and procedures. *
Submit
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