Family Discipleship Conference at MBC - April 30-May 1

Name

Spouse's Name (if also attending)

This address will receive a confirmation email

Will your children participate in the childcare (provided for children 12 and under)?

Yes No

If yes, please fill in the names and ages of your children who will attend below.

Payment (covers the cost of Friday dinner, Saturday breakfast, & childcare)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.