Complete the on-line registration form below

LOMT 2008 All Age Event Registration Form

All required fields are marked with an*
Guest Name: First* Last*
Birthdate (if minor): Mo Day Year ( Please use numbers:Example 12 / 17 / 1992)
Gender: *

 



Home Mailing Address:*
Home City:* State:* Zip:*
Home Church and City:

Daytime Phone:* ( ) -
Cell Phone: ( )- Evening Phone: ( )-

E-Mail address:* I request confirmation packet by e-mail

NOTE: If you do not have an e-mail, enter your first and last name in the e-mail field.

For Family Events, please list the names of all participants (and ages for children under 18).



For individual events if a cabinmate or roomate is requested, please list below:



2008 Events:

 

 

 

 

 

Total Fee:*

Check housing option where appropriate:
NOT ALL OPTIONS ARE AVAILABLE FOR EVERY EVENT
See Event Description for appropriate options

Camp Lone Star Motel Style Cabin/Dorm:
Only one or two people per room
Up to three or four people per room
No restriction on number per room


Offsite RV Retreat Campgrounds:
Full hook up
Any available space

Length of Rig:


To contact the LOMT Registration Office:
Mailing Address: P.O. Box 457, La Grange, Texas 78945
E-mail Address: retreats@LOMT.com
Telephone: Local 979- 247- 4128
Long distance: 800-362-2078
Fax: 979-247-4120