Congregational Registration
Congregation:
Minister/Director:
Address:
City:
State:
Zip:
Phone:
Fax:
Call before faxing?
Website:
Email Address:
Primary Coordinator:
Address:
City:
State:
Zip:
Home Phone:
Office/Other Phone:
Email Address:
Back-Up Coordinator:
Address:
City:
State:
Zip:
Home Phone:
Office/Other Phone:
Email Address:
Night of the week:
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Number of Guests:
Phone number where guests stay:
Gender:
Male
Female
Yes
No
Shower:
Clothing:
Laundry:
Sack Lunch:
Wheel Chair Accessible:
Other Information:
What other congregations, if any, are working with you?

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