Indiana Dunes Great Banquet

Registration Form for 2016
"Come for all is now ready."
- Luke 14:17

Sponsor, please return this registration form with fee to:
Indiana Dunes Great Banquet
C/O Sheya and Bryan Bennett
179 S. 150 E
Valparaiso, IN 46383

The Great Banquet is a three-day experience of renewal, learning, and sharing in the atmosphere of a Christian community. It is designed to help mature people work toward a Christian way of life with community support. It does not provide a climate for the solution of deep-seated problems. It consists of three days and three nights from Thursday evening until Sunday evening. Married couples are requested to submit separate registrations and will attend separate weekends, but they are encouraged to turn in both registrations at the same time, if possible.

TO BE FILLED OUT BY GUEST :
(PLEASE TYPE OR PRINT ALL INFORMATION CLEARLY): Male ______Female ______

Name ______Name to appear on name tag ______

Address ______City ______State ______Zip ______

Phone (_____)______Birth date ______

Your E-mail address ______

Marital Status _____Spouse's Name ______Is spouse submitting a registration also?

Your Occupation ______Years of formal education ______

Name & phone number of close friend or relative (not spouse)______

Church now attending ______(None _____ ) Pastor's name In what religious or community organizations are you active ______

Any medical needs or health problems that may affect your participation ______

C-Pap machine? Special diet needs? ______Special medication?

State briefly why you wish to be involved in the Great Banquet and what you expect from it:

______

Has the Great Banquet been explained to you? _____

This form does not guarantee acceptance to a specific banquet. You may be placed on a waiting list since we only have a certain number of spaces available. The Guest and Sponsor must complete their respective sections.

A $30.00 registration fee (preferably by check made payable to the Indiana Dunes Great Banquet) should accompany the Registration Form in order to complete the processing of the registration. Early applicants will be notified of acceptance by letter several weeks before the Great Banquet. Late application will be handled as quickly as possible.

The Great Banquet you wish to attend:

Men's # 87 – April 21 - 24, 2016 ______

Women's #88 – April 28 – May 1, 2016 ______

Men’s #89 – September 22 – 25, 2016 ______

Women’s #90 – September 29 – October 2, 2016 ______

Please enclose a $30 Registration Fee. Make checks payable to Indiana Dunes Great Banquet.

Signature ______Date ______

PLEASE RETURN THIS FORM TO YOUR SPONSOR TO COMPLETE.

TO BE FILLED OUT BY THE SPONSOR:

When/where did you attend the Great Banquet/Cursillo/Emmaus/TresDias/etc.? ______

How long have you known this candidate? ______How would this person benefit from a Banquet?

______

______

Sponsor’s Name ______Date ______Telephone ______

Signature

Address ______City ______State ______Zip ______

Sponsor's E-mail address ______

(This form expires October 4, 2016) Rev. 12/10/2015