Confluence 2018 Registration
Please fill out this form and pay the $50 registration fee (
) by NOON on September 12 to go to Confluence with the UGA BCM.
Year in School
4th or more
What is the earliest time you can leave on Friday, September 21?
6:00PM or later (transportation may not be provided this late depending on numbers)
I will be driving separate from BCM (transportation costs will NOT be covered).
I am willing to drive my car and carpool with BCM if needed (mileage will be reimbursed if your car is needed)
I do not want to take my car and will need a ride.
Emergency Contact One - Name & Relationship to You
Emergency Contact One - Phone Number
Emergency Contact Two - Name & Relationship to You
Emergency Contact Two - Phone Number
Any additional information we need to know
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This form was created inside of Baptist Collegiate Ministries @ UGA.
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