Region 4 Elders, Deacons, and Deaconess Retreat Registration

Name of Church *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

How many in your group will eat Sabbath lunch? *

How many Elders will be attending? *

Please provide the name of the ELDERS in your group.
(CLICK THE PLUS SIGN TO ADD MORE NAMES) * 🛈

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How many Deacons will be attending? *

Please provide the name of the DEACONS in your group.
(CLICK THE PLUS SIGN TO ADD MORE NAMES) * 🛈

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How many Deaconesses will be attending? *

Please provide the name of the DEACONESSES in your group.
(CLICK THE PLUS SIGN TO ADD MORE NAMES) * 🛈

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