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 or seminary participating in the same workshop(s) can take a 20% discount.

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. Patrick Matsikenyiri 11/3/07 11/4/07

Rev. Dr. Jana Childers 1/12/07 1/13/07

Rev. Chip Andrus 2/23/08 2/23/08

Elise Eslinger 4/19/08 4/20/08

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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