Empowered to Connect Simulcast Registration
Pure Gift of God and Grace Mennonite Church are hosting the 2017 Empowered to Connect Simulcast!

Location: Grace Mennonite Church (Youth Room); 5850 County Road 77, Millersburg, OH 44654
Date and Time: April 7-8, 2017 from 10am-6pm; Doors open at 9:15am
Cost: $20/person or $25/couple (make checks payable to Grace Mennonite Church)

Students from Maranatha Christian School will have lunch available by donation on both days. Childcare will also be provided by donation on Saturday ONLY, and kids must be pre-registered. The donations for food and childcare will all go towards their senior trip.

The registration deadline is Friday, March 31. You may drop off or mail your payment to Grace at the address above or pay when you sign in the day of the simulcast. If you have any questions about the simulcast, contact Lauren Miller at 330.204.4624 or Amy Yoder at 330.763.0431.

Registration
Name
Your answer
Spouse's Name
Your answer
Address
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City, State & Zip
Your answer
Phone Number
Your answer
E-mail Address
Your answer
Will you be using childcare on Saturday?
If using childcare, please list names and ages of children.
Your answer
Are you a professional that will need CEU credits?
If you are pursuing CEU credits, we will be sending you additional registration information. There will also be an additional fee.
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