Presentation on theme: "Bethel AME Church 602-604 Walnut Street Wilmington, DE 19801 Attn: Bethel Liturgical Dance Ministry CONFERENCE REGISTRATION one form per person REGISTRATION."— Presentation transcript:
Bethel AME Church Walnut Street Wilmington, DE Attn: Bethel Liturgical Dance Ministry CONFERENCE REGISTRATION one form per person REGISTRATION # Check #: ________ Cash/Money Order ________ _____________________________________________ Name: (Please Print) ___Child ___Brother ___Sister ___Evangelist ____Minister____ ______________________________________________ Address: ______________________________________________ City, State, Zip: _______________________________________________ Phone number (s) _______________________________________________ _______________________________________________ Church Affiliation _______________________________________________ Pastor _______________________________________________ Director FREDDIE MOORE Elizabeth Brown JAMES DOUGLAS Bethel African Methodist Episcopal Church and the conference facilitators assume no responsibility for injuries sustained by a participant. Participant hereby waives and releases Bethel African Methodist Episcopal Church, its respective officers, employees, agents and conference facilitators from any and all manner of actions, claims, and demands, especially all claims arising out of any incidents involving personal injury to participant or loss of personal property belonging to participant in any way by reason of participation in the conference activities. SIGNATURE_______________________________________ DATE__________________________ Disclaimer I G I V E M Y S E L F A W A Y 1 Corinthians 6:20 For you were bought with a price. So glorify God in your body.