BCY Assembly
Registration
July 4-6, 2014 at FBC Penticton
Please select the options you will be
participating in
□Delegate (paid by church) $65
□ Visitor (paid by church) $35
□Women In Focus Luncheon $15 (Fri)
□Best Ball Golf Tourney
$25(Fri)
□Dinner at FBC Penticton $10(Fri)
□Continental Breakfast Sat. $5
□Lunch on Saturday
$7
□Dinner & Music Rotary Park (Sat)
(Food trucks will be on site – pay your
own meal at that time)
Total
$_______
Child Care
Childs Name:________________________________
□
□
□
□
Age:_______ Friday
Saturday
Childs Name:________________________________
Age:_______ Friday
Saturday
Allergy/Dietary Alert:_______________________
________________________________________________
_______________________________________________
Please complete registration form and send
to Dawn at the BCY Regional Office:
7175 Royal Oak Ave. Burnaby, BC V5J 4J3
Or email to: bcyarea@cbwc.ca
BCY Assembly
Registration
BCY Assembly
Registration
July 4-6, 2014 at FBC Penticton
July 4-6, 2014 at FBC Penticton
Please select the options you will be
participating in
Please select the options you will be
participating in
□Delegate (paid by church) $65
□ Visitor (paid by church) $35
□Women In Focus Luncheon $15 (Fri)
□Best Ball Golf Tourney
$25(Fri)
□Dinner at FBC Penticton $10(Fri)
□Continental Breakfast Sat. $5
□Lunch on Saturday
$7
□Dinner & Music Rotary Park (Sat)
□Delegate (paid by church) $65
□ Visitor (paid by church) $35
□Women In Focus Luncheon $15 (Fri)
□Best Ball Golf Tourney
$25(Fri)
□Dinner at FBC Penticton $10(Fri)
□Continental Breakfast Sat. $5
□Lunch on Saturday
$7
□Dinner & Music Rotary Park (Sat)
(Food trucks will be on site – pay your
own meal at that time)
(Food trucks will be on site – pay your
own meal at that time)
Total
Total
$_______
Child Care
Childs Name:________________________________
□
□
□
□
Age:_______ Friday
Saturday
Childs Name:________________________________
$_______
Child Care
Childs Name:________________________________
□
□
□
□
Age:_______ Friday
Saturday
Childs Name:________________________________
Age:_______ Friday
Saturday
Allergy/Dietary Alert:_______________________
Age:_______ Friday
Saturday
Allergy/Dietary Alert:_______________________
________________________________________________
________________________________________________
_______________________________________________
_______________________________________________
Please complete registration form and send
to Dawn at the BCY Regional Office:
7175 Royal Oak Ave. Burnaby, BC V5J 4J3
Or email to: bcyarea@cbwc.ca
Please complete registration form and send
to Dawn at the BCY Regional Office:
7175 Royal Oak Ave. Burnaby, BC V5J 4J3
Or email to: bcyarea@cbwc.ca
Registration
Registration
Please select the options you will be
Please select the options you will be
Registration
Registration
Registration
The cost is $65/delegate and $35/visitor. (the
delegate and visitor fee is to be paid by your
church) Please make cheques payable to
Convention of Baptist Churches of BC and
enclose with registration form.
The cost is $65/delegate and $35/visitor. (the
delegate and visitor fee is to be paid by your
church) Please make cheques payable to
Convention of Baptist Churches of BC and
enclose with registration form.
The cost is $65/delegate and $35/visitor. (the
delegate and visitor fee is to be paid by your
church) Please make cheques payable to
Convention of Baptist Churches of BC and
enclose with registration form.
Pastor: □ Chaplain: □ Spouse: □
Pastor: □ Chaplain: □ Spouse: □
Pastor: □ Chaplain: □ Spouse: □
Last Name:___________________________________________
Last Name:___________________________________________
Last Name:___________________________________________
First Name:__________________________________________
First Name:__________________________________________
First Name:__________________________________________
Phone:_____________________ Cell: _____________________
Phone:_____________________ Cell: _____________________
Phone:_____________________ Cell: _____________________
Email:_________________________________________________
Email:_________________________________________________
Email:_________________________________________________
Pastor: □ Chaplain: □ Spouse: □
Pastor: □ Chaplain: □ Spouse: □
Pastor: □ Chaplain: □ Spouse: □
Last Name:___________________________________________
Last Name:___________________________________________
Last Name:___________________________________________
First Name:__________________________________________
First Name:__________________________________________
First Name:__________________________________________
Phone:_____________________ Cell: _____________________
Phone:_____________________ Cell: _____________________
Phone:_____________________ Cell: _____________________
Email:_________________________________________________
Email:_________________________________________________
Email:_________________________________________________
Please see reverse for amounts and to select
activities
Please see reverse for amounts and to select
activities
Please see reverse for amounts and to select
activities
Your church is responsible to send in the
delegate/visitor fees and listing. You are
responsible for any other fees (meals etc)
Your church is responsible to send in the
delegate/visitor fees and listing. You are
responsible for any other fees (meals etc)
Your church is responsible to send in the
delegate/visitor fees and listing. You are
responsible for any other fees (meals etc)