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 On-site fees will increase to $275 and Off-site fees will increase to $225.

Additionally, attendees under the age of 18 are subject to discounted registration. See ccwlc.org for details.

Qty. / Amount
On-Site Attendee - $260 (Includes all lodging, meals, sessions and workshops)
Off-Site Attendee - $210 (includes meals, sessions, and workshops only)
One Day Pass - $100 (includes meals, sessions, and workshops)
(meals w/ pre-registration only)
Please circle: Tuesday, Nov. 11 or Wed. Nov. 12
Sessions and Workshops Only - $125
Total =

Cancellation Policy

Should you need to cancel for any reason before the conference, there will be a $35 per person cancellation fee. Refunds will not be given for cancellations made after Tuesday, November 3rd. Cancellation refund requests must be sent 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 write “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

1. Name______Circle One: On-site Off-site Day Pass: ( Tues.or Wed )

Email Address______Instrument______

Gender M / F Requested Roommates______

2. Name______Circle One: On-site Off-site Day Pass: ( Tues.or Wed )

Email Address______Instrument______

Gender M / F Requested Roommates______

3. Name______Circle One: On-site Off-site Day Pass: ( Tues.or Wed )

Email Address______Instrument______

Gender M / F Requested Roommates______

4. Name______Circle One: On-site Off-site Day Pass: ( Tues.or Wed )

Email Address______Instrument______

Gender M / F Requested Roommates______

5. Name______Circle One: On-site Off-site Day Pass: ( Tues.or Wed )

Email Address______Instrument______

Gender M / F Requested Roommates______

6. Name______Circle One: On-site Off-site Day Pass: ( Tues.or Wed )

Email Address______Instrument______

Gender M / F Requested Roommates______

7. Name______Circle One: On-site Off-site Day Pass: ( Tues.or Wed )

Email Address______Instrument______

Gender M / F Requested Roommates______

8. Name______Circle One: On-site Off-site Day Pass: ( Tues.or Wed )

Email Address______Instrument______

Gender M / F Requested Roommates______

9. Name______Circle One: On-site Off-site Day Pass: ( Tues.or Wed )

Email Address______Instrument______

Gender M / F Requested Roommates______