Early Response Team (ERT) Training Registration Mooreville UMC October 26, 2019 9am-5pm

Please complete the following registration and payment form.
(As appears on a State Issued ID)

*First Name
*Last Name
*Address 1
*City
State
*Zip
*Phone
*Email
*Church Name

Please put Name of Church, followed by FUMC or UMC. (ex: Fort Worth FUMC or Keller UMC)

*Church City
*District

Your church is located in Central Texas Conference, so please answer with district location.

North
South
East
West
Central
New Start
*Have you attended another Early Response Training Class?
Yes
No
If YES, when and where?
*Please select your T-Shirt size
Small
Medium
Large
X-Large
2X-Large
3X-Large
*Cost of Class (includes class materials, one t-shirt and lunch) ($30)
I wish to purchase additional ERT T-shirts.

($10 each)

None
One Additional T-shirt ($10)
Two Additional T-shirts ($20)
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