HOUSE OF GOD, INC
90th Annual General Convocation - Guest Clergy Registration Form
Personal Information
Title:
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Church Name:
Church Address:
Pastor's Name:
I am a guest of:
Date of Arrival
Select Date:
Other family members in attendance from the same household (16 years and up)
  Title First Name Last Name Age  
Person #1:  
Person #2:  
Person #3:  
Other family members in attendance from the same household (15 years and down)
  First Name Last Name Age  
Person #1:  
Person #2:  
Person #3:  
Special accommodations
Interpreter
Sabbath diabetic meal ticket