WOMEN'S ENCOUNTER SERVER REGISTRATION - April 26-28, 2019
This Encounter is hosted by Crossroads Christian Church of Hutchinson, Kansas

Cost for the Encounter is $125 per person. All Servers must submit payment prior to departure on Friday evening.

Write checks to "Women's Encounter" and mail to:
Crossroads Christian Church
4310 N. Monroe
Hutchinson, Kansas 67502

You will receive a confirmation of your registration by e-mail.

First Name *
Your answer
Last Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
A work email address may route Encounter mail to a "junk" or "spam" file.
Your answer
Phone Number *
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone *
Your answer
Served before? *
Can you climb stairs? *
Can you use a top bunk? *
Do you have any other health or dietary concerns? *
Example: Physical limitations, diabetic, dietary restrictions, etc.
Your answer
What kind of sub-sandwich would you prefer? *
Server T-Shirts *
Servers will need 2 server t-shirts; one Scuba Blue, and one Safety Pink. The shirts are $10 each. Which t-shirts do you need?
Required
T-shirt size *
Check t-shirt size you will need
Required
Home Church
Include city if not in Hutchinson. Leave blank if none.
Your answer
Questions or comments about the Encounter?
Your answer
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