Association Weekend Reservation

Members of the Laurelville Mennonite Church Center Association may use this form to register for the upcoming Association meeting. Please provide as much information as you can. Thank you!

Note: Fields marked with Red are required.

Last Name

First Name(s)

Child #1 Name, Age

Child #2 Name, Age

Child #3 Name, Age

Email Address

Do you need lodging at Laurelville?
Yes No
Choice of building

Arrival day and time

Departure day and time


Total Number @ Each Meal:
Friday Dinner
Saturday Breakfast
Saturday Lunch
Saturday Dinner
Sunday Breakfast
Sunday Dinner

* * * * * * * * * * * * * * * * * * * *

Guest Last Name

Guest First Name(s)

Guest Address

Guest Address

Guest City / State / Zip

Phone


Notes




Thank You!