Group Registration Form
To register your group, you need to first submit some general information about your group and then submit information about each group member. After all group members are registered, complete the remaining information on this form and submit the registration. You will receive a confirmation code upon completion. If you do not receive a confrimation code, please reregister.
Group
Information
The first step in registering your group is to fill in the basic group information below. Click the "Submit" button when you are finished and you will have an opportunity to register your individual group members.
* - required field
Group Name
*
Group Contact
First Name
*
Last Name
*
Telephone
*
E-mail
*
Division
<select division>
Adult Rehabilitation Centers Command
College for Officer Training
Eastern Michigan Division
Heartland Division
Indiana Division
Kansas and Western Missouri Division
Metropolitan Division
Midland Division
National Headquarters
Northern Division
Other
Retired Officers
Territorial Headquarters
Western Division
Western Michigan/Northern Indiana Division
Wisconsin and Upper Michigan Division
Corps
<select corps>
Not applicable
Regular (Before 05/07/2010)
Late or
On-site
Number Ordered
Amount Due
Registration
Fees Due
All persons attending Congress, including children, must register and pay the registration fee.
Childcare is avilable at an additional cost with pre-registration only.
$40
$50
0
$0.00
Additional fees for Childcare
Ages Infant - 23 mos (Nusery)
$25
N/A
N/A
$0.00
Ages 2 - 5 years (Toddler)
$25
N/A
N/A
$0.00
Ages 6 - 11 (Child)
$25
N/A
N/A
$0.00
Saturday
Lunch
Delegates will be provided a picnic lunch on Saturday at Noon. Please indicate how many meals of each type you would like to order below.
Hot Dog
Hamburger
Green Salad
Other Events
Number attending the Friday Teen/Young Adult Afterglow
The Teen and Young Adult Afterglow will be a Dodgeball / Kickball Spectacular and will take place at the Schaumburg Sport Center on Friday, June 11th from 9:30 pm -12 am. This event is open for ages 13-29 years old and buses will be provided for first 200 participants.
0
Number attending the Sunday Bible Study on Prayer
0
Extra Programs and Tickets
Number
ordered
Cost
Due
Friday evening
$15.00
$
0.00
Saturday evening
$15.00
$
0.00
Sunday afternoon
$15.00
$
0.00
Congress Program
$10.00
$
0.00