MBA Conference Registration

Registrant Information

First
Last
Address
Address
City
Province
Postal

Break-out Discussion Sessions

(please rank preference 1-4, while not ‘set in stone’ having an idea of interest will help us prepare accordingly.)

Preparing the Net
The Best Fishing Spots
Cleaning The Catch
AMA with Merv Budd

 

Fees
(dietary restrictions, allergies, or special needs)
plus4 Add Registrant minus4 Remove

Number of Children

Child 1

Child 2

Child 3

Child 4

Child 5

Emergency Contact Information

Payment Details

Payment Method

$

NOTE: When you click "submit" you will be directed to Paypal to pay for your registration, securing your spot. You will be able to pay via card or paypal account.

Please send an e-transfer for the total above to office@mbbaptist.org

NOTE: Your registration will be pending until receipt of your e-transfer has been confirmed.

After submitting your registration, please send your cheque to:

Care of Al Donald
18 Tranquil Bay
Winnipeg, MB
R3T 5E1
CANADA

Cheques made payable to Manitoba Baptist Association. No post-dated cheques please.

NOTE: Your registration will not be confirmed until we receive your cheque.