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Complete the on-line registration form below
LOMT 2010 Pre Confirmation Registration Form
All required fields are marked with an* Church Name:* Group Name: Church Mailing Address:* City:* State:* Zip:* Church Phone:* ( ) - Church Fax: ( ) - Adult Leader:* Position:* Day Phone:* ( )- Cell Phone: ( )- E-Mail address:*
NOTE: If you do not have an e-mail, enter your first and last name in the e-mail field.
RETREAT PARTICIPANTS: Total Number of Young People:* Male Female Total Number of Adult Leaders:* Male Female ALL GROUPS MUST HAVE AN ADULT LEADER ON SITE PROVIDING SUPERVISION DURING THE ENTIRE EVENT Pre Confirmation Session:* Pre-Confirmation 1, (Sept 10-11) Latham Springs Pre-Confirmation 2 (Sept 17-19) Camp Lone Star Pre-Confirmation 4 SESSION FULL Pre-Confirmation 6 (Oct 1-3) Camp Lone Star SESSION FULL Pre-Confirmation 3 or 5 (Sept. 17-19 or Sept. 24-26) St Paul Center-Wichita Falls Pre-Confirmation 7 (Oct 8-10) Camp Lone Star
Length of Stay:
Deposit: A $25 per person, non-refundable, non-transferable deposit is required to reserve space(s). Total Number of people attending* X $25 = Total Deposit Total Due:*
To contact the LOMT Registration Office: Mailing Address: P.O. Box 457, La Grange, Texas 78945 E-mail Address: registrar@lomt.com Telephone: Local 979- 247- 4128 Long distance: 800-362-2078 Fax: 979-247-4120
Make a donation to LOMT and Camp Lone Star today.
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