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NO EXCUSES CONFERENCE 2013 REGISTRATION FORM
                             May 17– 19, 2013. NAV Centre, 1050 Boundary Road, Cornwall, Ontario
                          Please Note: Each room mate MUST submit a separate registration form.
                                     IF YOU ARE UNDER 16 a consent form should be submitted with your
                                                            registration form


First Name:                                                            Last Name                                                   Age:


Address:                                                                   City: ___________________                       Gender: ____________


Prov:                                            Postal Code

Phone:                                            Email:_


Group Name (Local Church):                                                Youth Leader:

Deposit (Amt sent with form);
                                                  RATES INCLUDE:
                      2 NIGHTS ACCOMMODATION *** 1 MEAL ON FRIDAY (MUST ARRIVE BEFORE 7:00PM)
                                3 MEALS ON SATURDAY & 2 SNACKS *** 2 MEALS ON SUNDAY
                           DEPOSIT OF $79.00 PP MUST ACCOMPANY ALL REGISTRATION

                                      YOUTH LEADERS PLEASE SEND ROOMMATES TOGETHER
        List names and ages of roommates below: (Max 4 per room with the exception of kids under 11yrs old
                                 – Cots available at extra charge of $15.00 plus Taxes)
Names                                                  Age


                                                                                                            QUAD
1.

2.

3.                                                                                                         $179.00
4.
                                                                       Conference Rates:
                                                                          REGULAR                 WALK IN                  ONE NIGHT
                                                     EARLY BIRD
                        Standard          SNG            $330                $345                     $365                       $380
                        Standard          DBL            $216                $231                     $247                       $262
                        Junior Suite      aSNG           $361                $376                     $397                       $412
                        Junior Suite      DBL            $239                $254                     $271                       $286
                        Junior Suite      TRP            $200                $215                     $231                       $246
                        Junior Suite      Quad           $179                $194                     $209                       $224


               Mail/Fax or bring to:                                        Do not write in the space belo w fo r Natio nal Offic e use only:

             No Excuses Youth Conference 2013
                   Registration                                             Deposit confirmed: $
          C/O Church Of God of Prophecy
 5145 Tomken Road, Mississauga, ON.Canada L4W 1T1                           Check #                           M O #_                            Cash:
          Phone: 905 625 1278/Fax:905 625 1316

     No Excuses Youth Ministry is the National Youth Ministry of the
                                                                            Date Received:
        Church of God of Prophecy in Eastern Canada
NO EXCUSES CONFERENCE 2013 REGISTRATION FORM
                             May 17– 19, 2013. NAV Centre, 1050 Boundary Road, Cornwall, Ontario
                          Please Note: Each room mate MUST submit a separate registration form.
                                     IF YOU ARE UNDER 16 a consent form should be submitted with your
                                                            registration form


First Name:                                                            Last Name                                                   Age:


Address:                                                                   City: ___________________                       Gender: ____________


Prov:                                            Postal Code

Phone:                                            Email:_


Group Name (Local Church):                                                Youth Leader:

Deposit (Amt sent with form);
                                                  RATES INCLUDE:
                      2 NIGHTS ACCOMMODATION *** 1 MEAL ON FRIDAY (MUST ARRIVE BEFORE 7:00PM)
                                3 MEALS ON SATURDAY & 2 SNACKS *** 2 MEALS ON SUNDAY
                           DEPOSIT OF $79.00 PP MUST ACCOMPANY ALL REGISTRATION

                                      YOUTH LEADERS PLEASE SEND ROOMMATES TOGETHER
        List names and ages of roommates below: (Max 4 per room with the exception of kids under 11yrs old
                                 – Cots available at extra charge of $15.00 plus Taxes)
Names                                                  Age


                                                                                                            QUAD
1.

2.

3.                                                                                                         $179.00
4.
                                                                       Conference Rates:
                                                                          REGULAR                 WALK IN                  ONE NIGHT
                                                     EARLY BIRD
                        Standard          SNG            $330                $345                     $365                       $380
                        Standard          DBL            $216                $231                     $247                       $262
                        Junior Suite      aSNG           $361                $376                     $397                       $412
                        Junior Suite      DBL            $239                $254                     $271                       $286
                        Junior Suite      TRP            $200                $215                     $231                       $246
                        Junior Suite      Quad           $179                $194                     $209                       $224


               Mail/Fax or bring to:                                        Do not write in the space belo w fo r Natio nal Offic e use only:

             No Excuses Youth Conference 2013
                   Registration                                             Deposit confirmed: $
          C/O Church Of God of Prophecy
 5145 Tomken Road, Mississauga, ON.Canada L4W 1T1                           Check #                           M O #_                            Cash:
          Phone: 905 625 1278/Fax:905 625 1316

     No Excuses Youth Ministry is the National Youth Ministry of the
                                                                            Date Received:
        Church of God of Prophecy in Eastern Canada
NO EXCUSES CONFERENCE 2013 REGISTRATION FORM
                             May 17– 19, 2013. NAV Centre, 1050 Boundary Road, Cornwall, Ontario
                          Please Note: Each room mate MUST submit a separate registration form.
                                     IF YOU ARE UNDER 16 a consent form should be submitted with your
                                                            registration form


First Name:                                                            Last Name                                                   Age:


Address:                                                                   City: ___________________                       Gender: ____________


Prov:                                            Postal Code

Phone:                                            Email:_


Group Name (Local Church):                                                Youth Leader:

Deposit (Amt sent with form);
                                                  RATES INCLUDE:
                      2 NIGHTS ACCOMMODATION *** 1 MEAL ON FRIDAY (MUST ARRIVE BEFORE 7:00PM)
                                3 MEALS ON SATURDAY & 2 SNACKS *** 2 MEALS ON SUNDAY
                           DEPOSIT OF $79.00 PP MUST ACCOMPANY ALL REGISTRATION

                                      YOUTH LEADERS PLEASE SEND ROOMMATES TOGETHER
        List names and ages of roommates below: (Max 4 per room with the exception of kids under 11yrs old
                                 – Cots available at extra charge of $15.00 plus Taxes)
Names                                                  Age


                                                                                                            QUAD
1.

2.

3.                                                                                                         $179.00
4.
                                                                       Conference Rates:
                                                                          REGULAR                 WALK IN                  ONE NIGHT
                                                     EARLY BIRD
                        Standard          SNG            $330                $345                     $365                       $380
                        Standard          DBL            $216                $231                     $247                       $262
                        Junior Suite      aSNG           $361                $376                     $397                       $412
                        Junior Suite      DBL            $239                $254                     $271                       $286
                        Junior Suite      TRP            $200                $215                     $231                       $246
                        Junior Suite      Quad           $179                $194                     $209                       $224


               Mail/Fax or bring to:                                        Do not write in the space belo w fo r Natio nal Offic e use only:

             No Excuses Youth Conference 2013
                   Registration                                             Deposit confirmed: $
          C/O Church Of God of Prophecy
 5145 Tomken Road, Mississauga, ON.Canada L4W 1T1                           Check #                           M O #_                            Cash:
          Phone: 905 625 1278/Fax:905 625 1316

     No Excuses Youth Ministry is the National Youth Ministry of the
                                                                            Date Received:
        Church of God of Prophecy in Eastern Canada
NO EXCUSES CONFERENCE 2013 REGISTRATION FORM
                             May 17– 19, 2013. NAV Centre, 1050 Boundary Road, Cornwall, Ontario
                          Please Note: Each room mate MUST submit a separate registration form.
                                     IF YOU ARE UNDER 16 a consent form should be submitted with your
                                                            registration form


First Name:                                                            Last Name                                                   Age:


Address:                                                                   City: ___________________                       Gender: ____________


Prov:                                            Postal Code

Phone:                                            Email:_


Group Name (Local Church):                                                Youth Leader:

Deposit (Amt sent with form);
                                                  RATES INCLUDE:
                      2 NIGHTS ACCOMMODATION *** 1 MEAL ON FRIDAY (MUST ARRIVE BEFORE 7:00PM)
                                3 MEALS ON SATURDAY & 2 SNACKS *** 2 MEALS ON SUNDAY
                           DEPOSIT OF $79.00 PP MUST ACCOMPANY ALL REGISTRATION

                                      YOUTH LEADERS PLEASE SEND ROOMMATES TOGETHER
        List names and ages of roommates below: (Max 4 per room with the exception of kids under 11yrs old
                                 – Cots available at extra charge of $15.00 plus Taxes)
Names                                                  Age


                                                                                                            QUAD
1.

2.

3.                                                                                                         $179.00
4.
                                                                       Conference Rates:
                                                                          REGULAR                 WALK IN                  ONE NIGHT
                                                     EARLY BIRD
                        Standard          SNG            $330                $345                     $365                       $380
                        Standard          DBL            $216                $231                     $247                       $262
                        Junior Suite      aSNG           $361                $376                     $397                       $412
                        Junior Suite      DBL            $239                $254                     $271                       $286
                        Junior Suite      TRP            $200                $215                     $231                       $246
                        Junior Suite      Quad           $179                $194                     $209                       $224


               Mail/Fax or bring to:                                        Do not write in the space belo w fo r Natio nal Offic e use only:

             No Excuses Youth Conference 2013
                   Registration                                             Deposit confirmed: $
          C/O Church Of God of Prophecy
 5145 Tomken Road, Mississauga, ON.Canada L4W 1T1                           Check #                           M O #_                            Cash:
          Phone: 905 625 1278/Fax:905 625 1316

     No Excuses Youth Ministry is the National Youth Ministry of the
                                                                            Date Received:
        Church of God of Prophecy in Eastern Canada

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Registration form 2013

  • 1. NO EXCUSES CONFERENCE 2013 REGISTRATION FORM May 17– 19, 2013. NAV Centre, 1050 Boundary Road, Cornwall, Ontario Please Note: Each room mate MUST submit a separate registration form. IF YOU ARE UNDER 16 a consent form should be submitted with your registration form First Name: Last Name Age: Address: City: ___________________ Gender: ____________ Prov: Postal Code Phone: Email:_ Group Name (Local Church): Youth Leader: Deposit (Amt sent with form); RATES INCLUDE: 2 NIGHTS ACCOMMODATION *** 1 MEAL ON FRIDAY (MUST ARRIVE BEFORE 7:00PM) 3 MEALS ON SATURDAY & 2 SNACKS *** 2 MEALS ON SUNDAY DEPOSIT OF $79.00 PP MUST ACCOMPANY ALL REGISTRATION YOUTH LEADERS PLEASE SEND ROOMMATES TOGETHER List names and ages of roommates below: (Max 4 per room with the exception of kids under 11yrs old – Cots available at extra charge of $15.00 plus Taxes) Names Age QUAD 1. 2. 3. $179.00 4. Conference Rates: REGULAR WALK IN ONE NIGHT EARLY BIRD Standard SNG $330 $345 $365 $380 Standard DBL $216 $231 $247 $262 Junior Suite aSNG $361 $376 $397 $412 Junior Suite DBL $239 $254 $271 $286 Junior Suite TRP $200 $215 $231 $246 Junior Suite Quad $179 $194 $209 $224 Mail/Fax or bring to: Do not write in the space belo w fo r Natio nal Offic e use only: No Excuses Youth Conference 2013 Registration Deposit confirmed: $ C/O Church Of God of Prophecy 5145 Tomken Road, Mississauga, ON.Canada L4W 1T1 Check # M O #_ Cash: Phone: 905 625 1278/Fax:905 625 1316 No Excuses Youth Ministry is the National Youth Ministry of the Date Received: Church of God of Prophecy in Eastern Canada
  • 2. NO EXCUSES CONFERENCE 2013 REGISTRATION FORM May 17– 19, 2013. NAV Centre, 1050 Boundary Road, Cornwall, Ontario Please Note: Each room mate MUST submit a separate registration form. IF YOU ARE UNDER 16 a consent form should be submitted with your registration form First Name: Last Name Age: Address: City: ___________________ Gender: ____________ Prov: Postal Code Phone: Email:_ Group Name (Local Church): Youth Leader: Deposit (Amt sent with form); RATES INCLUDE: 2 NIGHTS ACCOMMODATION *** 1 MEAL ON FRIDAY (MUST ARRIVE BEFORE 7:00PM) 3 MEALS ON SATURDAY & 2 SNACKS *** 2 MEALS ON SUNDAY DEPOSIT OF $79.00 PP MUST ACCOMPANY ALL REGISTRATION YOUTH LEADERS PLEASE SEND ROOMMATES TOGETHER List names and ages of roommates below: (Max 4 per room with the exception of kids under 11yrs old – Cots available at extra charge of $15.00 plus Taxes) Names Age QUAD 1. 2. 3. $179.00 4. Conference Rates: REGULAR WALK IN ONE NIGHT EARLY BIRD Standard SNG $330 $345 $365 $380 Standard DBL $216 $231 $247 $262 Junior Suite aSNG $361 $376 $397 $412 Junior Suite DBL $239 $254 $271 $286 Junior Suite TRP $200 $215 $231 $246 Junior Suite Quad $179 $194 $209 $224 Mail/Fax or bring to: Do not write in the space belo w fo r Natio nal Offic e use only: No Excuses Youth Conference 2013 Registration Deposit confirmed: $ C/O Church Of God of Prophecy 5145 Tomken Road, Mississauga, ON.Canada L4W 1T1 Check # M O #_ Cash: Phone: 905 625 1278/Fax:905 625 1316 No Excuses Youth Ministry is the National Youth Ministry of the Date Received: Church of God of Prophecy in Eastern Canada
  • 3. NO EXCUSES CONFERENCE 2013 REGISTRATION FORM May 17– 19, 2013. NAV Centre, 1050 Boundary Road, Cornwall, Ontario Please Note: Each room mate MUST submit a separate registration form. IF YOU ARE UNDER 16 a consent form should be submitted with your registration form First Name: Last Name Age: Address: City: ___________________ Gender: ____________ Prov: Postal Code Phone: Email:_ Group Name (Local Church): Youth Leader: Deposit (Amt sent with form); RATES INCLUDE: 2 NIGHTS ACCOMMODATION *** 1 MEAL ON FRIDAY (MUST ARRIVE BEFORE 7:00PM) 3 MEALS ON SATURDAY & 2 SNACKS *** 2 MEALS ON SUNDAY DEPOSIT OF $79.00 PP MUST ACCOMPANY ALL REGISTRATION YOUTH LEADERS PLEASE SEND ROOMMATES TOGETHER List names and ages of roommates below: (Max 4 per room with the exception of kids under 11yrs old – Cots available at extra charge of $15.00 plus Taxes) Names Age QUAD 1. 2. 3. $179.00 4. Conference Rates: REGULAR WALK IN ONE NIGHT EARLY BIRD Standard SNG $330 $345 $365 $380 Standard DBL $216 $231 $247 $262 Junior Suite aSNG $361 $376 $397 $412 Junior Suite DBL $239 $254 $271 $286 Junior Suite TRP $200 $215 $231 $246 Junior Suite Quad $179 $194 $209 $224 Mail/Fax or bring to: Do not write in the space belo w fo r Natio nal Offic e use only: No Excuses Youth Conference 2013 Registration Deposit confirmed: $ C/O Church Of God of Prophecy 5145 Tomken Road, Mississauga, ON.Canada L4W 1T1 Check # M O #_ Cash: Phone: 905 625 1278/Fax:905 625 1316 No Excuses Youth Ministry is the National Youth Ministry of the Date Received: Church of God of Prophecy in Eastern Canada
  • 4. NO EXCUSES CONFERENCE 2013 REGISTRATION FORM May 17– 19, 2013. NAV Centre, 1050 Boundary Road, Cornwall, Ontario Please Note: Each room mate MUST submit a separate registration form. IF YOU ARE UNDER 16 a consent form should be submitted with your registration form First Name: Last Name Age: Address: City: ___________________ Gender: ____________ Prov: Postal Code Phone: Email:_ Group Name (Local Church): Youth Leader: Deposit (Amt sent with form); RATES INCLUDE: 2 NIGHTS ACCOMMODATION *** 1 MEAL ON FRIDAY (MUST ARRIVE BEFORE 7:00PM) 3 MEALS ON SATURDAY & 2 SNACKS *** 2 MEALS ON SUNDAY DEPOSIT OF $79.00 PP MUST ACCOMPANY ALL REGISTRATION YOUTH LEADERS PLEASE SEND ROOMMATES TOGETHER List names and ages of roommates below: (Max 4 per room with the exception of kids under 11yrs old – Cots available at extra charge of $15.00 plus Taxes) Names Age QUAD 1. 2. 3. $179.00 4. Conference Rates: REGULAR WALK IN ONE NIGHT EARLY BIRD Standard SNG $330 $345 $365 $380 Standard DBL $216 $231 $247 $262 Junior Suite aSNG $361 $376 $397 $412 Junior Suite DBL $239 $254 $271 $286 Junior Suite TRP $200 $215 $231 $246 Junior Suite Quad $179 $194 $209 $224 Mail/Fax or bring to: Do not write in the space belo w fo r Natio nal Offic e use only: No Excuses Youth Conference 2013 Registration Deposit confirmed: $ C/O Church Of God of Prophecy 5145 Tomken Road, Mississauga, ON.Canada L4W 1T1 Check # M O #_ Cash: Phone: 905 625 1278/Fax:905 625 1316 No Excuses Youth Ministry is the National Youth Ministry of the Date Received: Church of God of Prophecy in Eastern Canada