Server Registration

Sarasota Church The Living Sanctuary Your Choice of Sarasota Churches Non-Denominational Christian Church Bible based Fellowship

THE LIVING SANCTUARY Start your 2009 New Year with YOUR Encounter! Click on "The Encounter!" link for details...
To reach, teach and build people for the purposes to which God has called them!

Server Registration Form

PLEASE READ INSTRUCTIONS

If you have already served with us - only complete required fields, as well as any information that has changed since your last registration form.

If this is your first time serving with us - please complete the entire form.

* Required Field

*Server Name:	Female Male
* (Please ensure you have selected the correct date)

So We Can Contact You ...

*Street Address: City: St: Zip:

*Email Address:

*Home Tel# (include area code): Cell# (include area code):

Tell Us About Yourself ...

Select shirt size: (Note: you will need to own at least 2 'server shirts' by the server meeting)

Your Age:

Have you served with us before? Yes No If yes, when?

What Church Do You Attend:

Who Referred You:

Please tell us of any special needs, including lodging, medical and meals:

Emergency Contact Information

Emergency Contact Person:

Relationship: Phone# (include area code):

How Will You Pay?

*Please select your payment option:

Already Paid Mail a Check Pay Online

A $40 deposit is due when you register. The full balance is due two weeks before the retreat date. If you are paying by check, please make your check payable to "The Living Sanctuary Church". All payments are non-refundable and non-transferable, as reservations are made immediately upon receipt of registration form. If you have a question, you can contact us by phone at 941-365-LIFE or by email by clicking <here> .

*Please Enter Your Initials To Confirm That You Read This Section:

Please Sign Application ...

Note: if you are completing this form for someone else, please make sure that they are aware and approve!

*Please Enter Your Name (person filling out the form):

*Today's Date (mm/dd/yy):

If the applicant is 18 or younger, you must have your parent's or guardian's approval to attend an Encounter weekend ... please enter your initials to confirm you have done so:

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