Registration

Registration Form (registration deadline is 10-5-2006)

Name: _________________________________________
Address: ________________________________________
City, State, Zip: ___________________________________
Home phone: (____) _____ - _______
Work phone: (____) _____ - _______
Email address: ________________________


Registration Fees - check all that apply

____ Seminar with meals and snacks (2 meals on Friday and 1 on Saturday)
$95.00 per person or $75.00 per student

____ One day only - includes one meal and one day of presentations
$50.00 per person

____ Optional Saturday Evening Banquet
$20.00 per person

Total Enclosed: ____________________

Please make checks payable to King of Grace Lutheran Church

Mail check and this completed form to :
King of Grace Lutheran Church
Attn: Confessional Worldview Semianr
6000 Duluth Street
Golden Valley, MN 55422

Any Questions? Special Requests? Call Pastor Matthew Brooks at King of Grace'

763-546-3131 or email mbrooksATkog-elsDOTorg