Support Team Training March 29-30, 2019

Training will be held at First United Methodist Church, Concordia, KS March 29, 6:00 pm thru March 30, 4:00 pm.

All questions with an asterisk (*) must be answered in order to submit this form.

*First Name
*Last Name
*Address 1
*City
*State
*Zip
*Phone
*Email
*Will you be attending the meeting?
Yes
No
*Lodging

Lodging will be arranged for those who need it on Friday evening, March 29 checking out on Saturday, March 30 at the Holiday Inn Express, 2175 Linoln St., Concordia, KS

Please check if you require a room.

Yes
No
If you wish to have your own room and not share a room, please click here - $57.50 will automatically be added to your registration. ($57.50)

You are asked to share a room with someone of the same gender. If you do not wish to share, you will owe half the cost of your hotel room which is $57.50

You may pay by credit card using PayPal upon submitting this form. You do not need a PayPal account to pay by credit card.

If you do not pay by credit card after registering, you will receive information in the confirmation email about paying by check or or credit card at a later time.

I would like to room with:
*Dietary Concerns

Check all that apply.

Vegetarian
Gluten Free
Lactose Intolerant
Your browser is not supported or has JavaScript turned off. To register use a different browser or turn on JavaScript.