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Southeast Mission Center

Register

Group info
ex: Jones family, John Smith and family, Jane Doe + friends
If you attended last year, check this box and we will reuse your prior room request in your registration
The email to associate with this registration.
Please choose Shared Room if you require housing and are willing to share a space. Housing is limited, and this allows more people to participate.
Indicate if you require a private bathroom for medical or personal reasons
Details
Non-confidential, general health information about members of your group (allergies, current injuries, etc). This form is not to be considered a secure method to communicate sensitive medial information.
Please list your housing accessibility needs,so we may provide you housing that best accommodates you.
I will be providing additional confidential medical information upon my arrival.
Anything we did not ask, but you'd like the registrar and staff to know. This could include time you'll be off grounds or additional ministry you would like to offer.
Emergency contact
Preferably someone not attending
Emergency contact phone numbers
Group Members
You have added 0 out of 9 allowed Group members.
Member info
In case we need to contact you directly by phone or SMS
Meals
Friday meals
Saturday Meals
Sunday meals
Monday Meals