Spring Lantern Fellowship Registration Form

Ohio Conference United Church of Christ OC Home
Please print the form below, complete and send with your check to Spring Lantern, Ohio Conference UCC, 6161 Busch Blvd., Ste. 95, Columbus OH 43229.
Spring Lantern Fellowship Faith and the Arts April 18 - 20, 2008 Pilgrim Hills Camp and Conference Center
Lantern Fellowship Home	Return to Spring Lantern Page

Registration Form

Registration Deadline: April 7, 2008

Name

Address

Email address

Home Phone ____________________ Work Phone_____________________

Church Affiliation ________________________________________________

(name) (city)

____ I need a bottom bunk.

My special need is _____________________

Preferred roommate/group

____ Please call me about scholarship assistance.

Make checks for $135 per person (or $155 if you wish to stay in Prettyman Center) payable to "Ohio Conference" and send to:

Lantern Fellowship
Ohio Conference UCC
6161 Busch Blvd., Suite 95
Columbus OH 43229-2547

Questions? Call 800.282.0740

Registration deadline: April 7

To register, print form, complete and send with your check to address above.