Register for Worship Alive!

Print this form, complete it, then mail it to Worship Alive!  Please write clearly and provide all information requested for each registrant. 

Groups of 3 or more from a congregation participating in the same workshop(s) can take a 20% discount. 
NEW! Our congregation will become a CO-SPONSOR of this year’s workshop series @ $300 total ($350 after July 31, 2010). We can send any number of persons to each of these four workshops.

Please register me for all four Worship Alive! workshops @ $100 total. 
(check 4 boxes below)

Please register me for the workshop(s) indicated. 
$35 paid in advance, $45 paid at door.
Workshop Saturday Sunday
Dr. Ysaye Barnwell  8/28/10  8/29/10
Dr. Tom Boomershine 10/23/10  10/24/10
Dr. Marcia McFee  1/15/11  1/16/11
Worship Wellspring  4/2/11 One Day Only!  

Name ________________________________________________  

Daytime phone (_______) _______-___________ 

Email ________________________________________________  

Address ______________________________________________  

City/State/Zip __________________________________________  

Congregation __________________________________________  

Denomination __________________________________________ 
Clergy     Other Church Professional    Lay   

Mail your completed registration form with payment (payable to United Church of Rogers Park) to: 

Worship Alive!, United Church of Rogers Park
1545 W. Morse Avenue, Chicago, IL 60626. 

Direct any questions or requests for additional information to Mark Bowman at 773-728-8274.

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