CCWLC 2015 Registration Form

Main Contact Information Please Print Clearly

Name______Age_____ Gender_____ Phone #______

Address______City______

State______Zip______Email______

Church______

Main Instrument / Ministry______

Requested Roommates: ______

______

Registration Information

Please note: After October 30, 2015 Onsite Lodging will increase to $275 and Offsite Lodging will increase to $225.

Qty. / Amount
Price per Full Attendee - $260 (Includes 3 nights lodging, 8 meals, all sessions)
Off-Campus Attendance - $210 (includes 8 meals, all sessions)
One Day Pass - $100 (3 meals, sessions offered,) (meals w/ pre-registration only)
Please circle: Tuesday, Nov. 11 or Wed. Nov. 12
Materials Only - $125 (all sessions but no housing, no meals)
Total =

Cancellation Policy: Should you need to cancel for any reason prior to 3 business days before the conference, there will be a $35 per person cancellation free. You must submit your request for cancellation to: . Please allow 2-4 weeks for processing of refunds.

Payment

When paying by check, please make the check payable to Calvary Chapel Costa Mesa (On the memo line, please identify it’s for the Calvary Chapel Worship Leaders Conference.) And mail check to:

Calvary Chapel Costa Mesa

Attn: CC Worship Leaders Conference

3800 S Fairview Rd

Santa Ana, CA 92704

Additional Registrants Please print clearly & circle the following options per line Onsite, Offsite, Day Pass (Tues. or Wed.) and gender for rooming purposes.

1. Name_______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

2. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

3. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

4. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

5. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

6. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

7. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

8. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

9. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

10. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

11. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

12. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

13. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______

14. Name______Onsite Offisite Day Pass:Tu.or Wed Gender M / F

Email Address______Instrument______