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. 
Our congregation will become a CO-SPONSOR of this year’s workshop series @ $300 total ($350 after July 31, 2011). 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.

Groups of 3 or more from a congregation participating in the same workshop(s) can take a 20% discount. 

Workshop Saturday Sunday
M. Anne Burnette Hook,
Rev. Scott A. Ressman
 11/5/11  11/6/11
Rev. Dr. Anna Carter Florence  1/28/12  1/29/12
Dr. Mark A. Torgerson  3/10/12  3/11/12
Richard & Trish Bruxvoort Colligan  4/28/12 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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