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LAITY CHECK
CHECK-IN
IN / REGISTRATION
Credential/Attendance Certification Form - 231ST Annual Session – 2015
Check all
that apply:
Local Church Lay Member
Lay Member at Large
Youth
Young Adult
BWC
District
Local Church Reserve Lay Member
Diaconal Minister
Active -DM
Retired-DR
Retired
Home Missioner
Deaconess - DC
BWC Annapolis Central
Central MD Cumberland-Hagerstown Frederick
District:
(If Applicable)
Baltimore
Baltimore Metropolitan Baltimore Suburban Greater Washington Washington
East
Attendance: AC-Wednesday
AC-Thursday
AC-Friday
AC-Saturday
Saturday
Print Name
Home Phone
Cell Phone
_____________________________
State
Zip
E-mail Address
Home Street Address
City
Church
__________________ Church ID
Church City/State
_____________________________________________
Printed Name of Pastor Signing Below
PASTOR’S SIGNATURE
Lay Member
Member’s credentials must be signed by the pastor of the church
in which their membership resides
Present form in person at the Annual Conference Laity Check
Check-In
In Area (if pre-registered)
pre
or the
Registration Area (if registering on
on-site) to pick up your badge and voting card.
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This form is NOT required to attend a Pre-Conference Information Session–
Session Do NOT Mail
Please use care when entering your information as it will be used to update our conference database
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