RINT & MAIL COMPLETED FORM AND REGISTRATION CHECK TO::

EBC MINISTRIES

4982 CAMBRIDGE ST., LAKE WORTH, FL 33463        561-965-0363

GROUP NAME:  ___________________________________________________

 ADDRESS:  ____________________________________________________________

 CITY, STATE, ZIP:  _____________________________________________________

 PHONE:  ___________________________________   FAX:  ____________________

 CONTACT PERSON:  ___________________________________________________

 EMAIL:  _______________________________________________________________

 APPROXIMATE NUMBER OF STUDENTS PLANNING TO ATTEND:  __________

 PLEASE CHECK ALL GROUP EVENTS THAT YOUR SCHOOL PLANS TO PARTICIPATE IN: 

_________Boy’s Basketball  _______ Girl’s Basketball  _____Boys Volleyball

 ________Girl’s Volleyball  _______ Knowledge  Bowl      _____Choir

 GOSPEL TEENS LEADERSHIP WEEK—MARCH  26—29, 2007

MASTERPIECE GARDENS, LAKE WALES, FL

REGISTRATION FEE—$100 PER GROUP

 COST PER PERSON ATTENDING—$170

DOWNLOAD RULES AND GUIDELINES HERE