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 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
Mark A. Miller  11/7/09  11/8/09
John L. Bell  2/13/10  2/14/10
Debra & Ron Rienstra  3/21/10  3/22/10
Worship Wellspring  4/24/10 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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