Lake Williamson Christian Center 17280 Lakeside Drive Carlinville IL 62626

March 31 - April 2, 2017


Individual Registration

Camper Information


rank
first name
last name
date of birth (mm/dd/yyyy)
division
corps
trolley service needed from housing to meeting site
translation
dietary restrictions





Other Restrictions
address
city
state
zip
phone
e-mail
(you will receive your confirmation e-mail at this address)
Emergency Contact
first name
last name
phone
relationship
Activity Choices There will be opportunities to participate in a variety of events during the afternoon. Some have additional charges. Check the events you may be interested in.















Lodging Includes: Phil Tuttle's latest book “The Crucible”, six meals, lodging, towels and linens, workshops, recreation, coffee anytime, snacks and great fellowship!
Lodging choice

Contact the Men's Ministries Department for additional Information!
I would like to room
(if possible) with (person or Corps)
Can you use a top bunk?
Agreements
By checking this box I hereby give The Salvation Army permission to use photos of me involved in Refiner's Fire Territorial Men's Conference activities in their publications, promotions or other ministry materials.

Fees


Registration Fee$0.00
Activity Fee$0.00
Total Due$0.00