LOMT 2011 Adult Event Registration Form

All required fields are marked with an*
Guest Name: First* Last*
Gender*:

Home Mailing Address:*
Home City:* State:* Zip:*
Home Church and City:
Daytime Phone:* ( ) -
Cell Phone: ( )- Evening Phone: ( )-
E-Mail address:* I request confirmation packet by:* Email Regular Mail

NOTE: If you do not have an e-mail, enter your first and last

name in the e-mail field.

For individual events if a cabinmate or roommate is requested, please list below:


2011 Adult Events:

Check housing option where appropriate:
NOT ALL OPTIONS ARE AVAILABLE FOR EVERY EVENT
See Event Description for appropriate options

Camp Lone Star Motel Style Cabin/Dorm:
Only one or two people per room
Up to three or four people per room
No restriction on number per room