The lighted window online

“Peace Of God Be With You.”

2006 FALL GATHERING

 OF

 OREGON AND WASHINGTON CONGREGATIONS

October 13 & 14, 2006

United Church of Christ, Congregational

The Dalles, Oregon

 

REGISTRATION FORM

(Please complete a registration form for each person attending.

Mail to: UCC, The Dalles, 111 East Fifth Street, The Dalles, Oregon 97058-1847)

 

Fees: $ 15.00  Adult, registration prior to October 10^th

         $ 20.00  Adult, late registration

         $ 10.00  Youth, registration prior to October 10^th

         $ 15.00  Youth, late registration

         $   8.00  Friday dinner, adult-vegetarian

         $   8.00  Friday dinner, youth-vegetarian

         $   5.00  Saturday lunch, adult-vegetarian

         $   5.00  Saturday lunch, youth-vegetarian

 

          TOTAL REGISTRATION COSTS: $________________

Make checks payable to: “UCC, Congregational, The Dalles”

 

(You can pay fees for multiple registrants with one check

so long as all forms are in the same envelope with the check.)

Lodging:

            I will make my own lodging arrangements.

            I would like to stay with a church family:

                      I am male      I am female 

                      Due to allergies, I need a home without pets 

                      I need housing for: Friday   Saturday 

                      I’m traveling with                 people who need to stay together.

                      I will need transportation to my guest home 

                      Other special needs:                                                                      

Childcare:

Childcare will be available for children 12 years old and under on Friday and Saturday. 

Children under age 12 will eat together in the childcare area.

Friday                          Saturday                      No. of children: _________                    

Child’s name:                                                                   Age:  __________                     

Male:   Female:   Vegetarian:   Food Allergies:   Explain: ________________                                                                                                                                           Child’s name:                                                                   Age:  __________                       

Male:   Female:   Vegetarian:   Food Allergies:   Explain: ________________                                                                                                                                           Child’s name:                                                                   Age:  __________                     

Male:   Female:   Vegetarian:   Food Allergies:   Explain: ________________                                                                                                                                           Child’s name:                                                                   Age: ___________                       

Male:   Female:   Vegetarian:   Food Allergies:   Explain: __________________________

RV Park   (There is no RV parking available at the church.)

Lone Pine RV Park

335 Lone Pine Drive

The Dalles, Oregon 97058

(541) 506-3755

RV Park   (There is no RV parking available at the church.)

Lone Pine RV Park

335 Lone Pine Drive

The Dalles, Oregon 97058

(541) 506-3755

RV Park   (There is no RV parking available at the church.)

Lone Pine RV Park

335 Lone Pine Drive

The Dalles, Oregon 97058

(541) 506-3755

If you have any questions contact Dixie Parker.

© UCC The Dalles 2006