2010 Family Conference Registration

The cost of the conference is $5 per person with a maximum family expense of $10. The registration fee will be collected on the day of the conference. Included in the cost is lunch (children included). Childcare and a simultaneous children's training session will be provided for children up to the fifth grade.

Please be sure to list the names and ages of all of your children who will be attending the childrens program (through the 5th grade). This greatly helps us in our desire to serve you and your children. Up to 4 children can be registered per form. If more children need to be registered please use an additional form.

Note: If you have children who will be attending the adult program please consider them as adults for the purpose of completing the registration form.

* Denotes Required Field

Name *
Address *
City *
State *
Zipcode *
Phone *
E-Mail *
Home Church
Number of Adults *
Adult Names (separate with commas) *
Number of adults attending Pastor/Church Leader sessions *
Number of Children *	0 1 2 3 4

#1 Child's Name (first and last)
Age or Grade

#2 Child's Name (first and last)
Age or Grade

#3 Child's name (first and last)
Age or Grade

#4 Child's Name (first and last)
Age or Grade

Allergies or Special Needs
How did you learn of this event?

www.OmahaBibleChurch.org