Middle TN Fellowship of Christian Magicians - hosts of Music City Creative Ministries Conference
27th annual
Music City
Creative Ministries Conference
Nov. 9 - 11, 2017
Connell Memorial United Methodist Church
113 Church Street, Goodlettsville, TN 37072

REGISTRATION FORM
___ Adult Registration @ $40 each 

___ Family Registration @$60  2 adults +kids or grandkids age 17 & under 
            (All youth, 17 and under, attending conference must be accompanied by an adult..)

___ 1 Day Registration @ $20 each Specify which day attending __________

Print clearly so badges are correct. List each person below and ages of youth and children.

Name ____________________________________________________  FCM # ___________

Address________________________________________________________________

City____________________________________ State____________ Zip___________

E-mail _________________________________________________________________
1st time attending?___Y ___N
Magic / Vent / Clown / Puppet / Balloons / Juggling / Face Painting / Storytelling   (Circle all interests)

Name ________________________________________________ If Youth, list age _____  

Name ________________________________________________ If Youth, list age _____  

Name ________________________________________________ If Youth, list age _____

Name ________________________________________________ If Youth, list age _____

Total Registration $_________  Please make check to: MIDDLE TN FCM 

Mail check and registration to:
Middle TN FCM c/o Annette Rhodes Hunter
121 Cumberland Circle, Gallatin, TN 37066
 
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