August 30-September 1, 2019
Little Rock, Arkansas
| EVENT SCHEDULE | |||
| DATE | ACTIVITY | LOCATION | TIME |
| Friday, August 30, 2019 | Meet n’ Greet | Wrightsville Gym | 6:00 to 10:00 p.m. |
| Saturday, August 31, 2019 | Family Picnic | Alsop Park | TBD |
| Sunday, September 1, 2019 | Sunday Service | TBD | TBD |
| REGISTRATION FEES FOR FAMILY MEMBERS AND GUEST |
| Family Members Guest |
| Children 9 Years & Younger: Free |
| Children 10 to 18 in school: $15.00 |
| Adults 18 & older: $35.00 |
| Adults 65 & Older: $15.00 |
| Couple Rate: $55.00 |
| 1 Adult with Child 10-17: $55.00 |
| 1 Adult with Child 9 & Under: $35.00 |
| Family: $75.00 |
Payments are accepted in cash, money order, or cashier’s check. No personal checks! No Refunds!
Registration payments must be paid by July 27, 2019 . There will be a $25.00 late fee assessed on payments past due date.
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T-Shirt Money is Due by July 13, 2019 to ensure ordering deadline.
| Youth Small-XL: $ 9.00 | Adult Small-XXL:$ 11.00 | Adult 3XL – 5XL: $ 12.00 | Big & Tall L & XL: 12.00 |
| Big & Tall: 2XLT to 4XLT- $17.00 |
| Richard Bunting:501-580-1604 | Rosetta Lewis: 501-613-5815 | James Conner: 501-952-8176 |
August 30 – September 1, 2019
Little Rock, Arkansas
REGISTRATION FORM
| Name | Age | DOB | Dues Pd. | Late Fee | |
| Adult 1 | $25.00 | ||||
| Adult 2 | $25.00 | ||||
| Adult 3 | $25.00 |
Total Amount: $____________ + Any Late Fees $_____________ Total Amount: $_________
| Children | Age | DOB | Amount |
| 1. | |||
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| 5. | |||
| 6. | |||
| 7. |
Total Amount: $_________
| Guest/Non-Family Members | Age | DOB | Amount |
| 1. | |||
| 2. | |||
| 3. | |||
| 4. | |||
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| 6. |
Head of Family 1.________________________________________________________________
# Adults: _____ # of Children under 18 in school: _________Total # of family members: ________
Address: _______________________________________________________________________
City: ___________________________ State: ___________________ Zip: ___________________
Home Phone: (_____) -_______-__________ Cell Phone: (____) – _________ -___________
Absolutely No Checks will be accepted: Mail Payments to: Yolanda Gore, Treasurer at 1503 S. Valentine, Little Rock, AR 72204. E-Mail: y.m.gore@sbcglobal.net
HOTEL INFORMATION WILL BE ANNOUNCED SOON
| Richard Bunting:501-580-1604 | Rosetta Lewis: 501-613-5815 | James Conner: 501-952-8176 |
| T-Shirt Form |
Youth Small – Adult XL: $9.00 Adult 2X: $11.00 Adult 3X-5X: $12.00 Big & Tall TBA
| Name | Size | Quantity | Price |
T-Shirt Money is due by July 13, 2019
Total Number of T-Shirts: ______________ Total Amount: ___________________________
Absolutely No Checks will be accepted: Mail Payments to: Yolanda Gore, Treasurer at 1503 S. Valentine, Little Rock, AR 72204. E-Mail: y.m.gore@sbcglobal.net
| Richard Bunting:501-580-1604 | Rosetta Lewis: 501-613-5815 | James Conner: 501-952-8176 |