Please provide the following contact and interest  information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

 Weekend Attended
 (Where and When)

 Choose one of the following weekend options:

Men's Spring Weekend 
Women's Fall Weekend 

 Select any of the following items that interest you:

Palanca (prayer) Chapel	        72 Hour Prayer Vigil

Present a Rollo (talk)  	                        4th Day Team

Be a Table Leader                                  Musician
 
Provide Palanca for the Weekend     Provide Snacks for the Weekend
 
Drop by and Help Where Needed