Commissioning 2007 Preregistration Form

MINISTERIAL INTERNSHIP PROGRAM
Commissioning Activities, May 18 & 19, 2007
CLEVELAND, TENNESSEE
Phone: 877.344.0488

Child care will be provided for ages 6 and under. Please include all children's names and ages in the provided box.

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MIP Commissioning Activities Registration
Name
Spouse
Address
City
State
Zip
Phone
Email
State Office
Names of children and guest attending with me:
Intern Supervising Pastor Alumni Coordinator Board Member Guest
Yes, I will be attending the MIP Commissioning Activities.