register.html
PRE CONFIRMATION REGISTRATION

Complete the on-line registration form below

LOMT 2017 Pre Confirmation Registration Form

All required fields are marked with an*
Church Name:*
Group Name:
Church Mailing Address:*
City:* State:* Zip:*
Church Phone:* ( ) - Church Fax: ( ) -
Adult Leader:*
Position:*
Day Phone:* ( )- Cell Phone: ( )-
E-Mail address:*


RETREAT PARTICIPANTS:
Total Number of Young People:* Male
Female

Total Number of Adult Leaders:* Male Female

ALL GROUPS MUST HAVE AN ADULT LEADER ON SITE PROVIDING SUPERVISION DURING THE ENTIRE EVENT
Pre Confirmation Session:*

(Sept 22 - 24)
(Oct 6 - 8)
(Oct 13 - 15)



Deposit: A $25 per person, non-refundable, non-transferable deposit
is required to reserve space(s).
Total Number of people attending*
X $25 = Total Deposit
Total Due:*


To contact the LOMT Registration Office:
Mailing Address: P.O. Box 457, La Grange, Texas 78945
E-mail Address: registrar@LOMT.com
Telephone: Local 979- 968-1657
Long distance: 800-362-2078
Fax: 979-968-1658

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Lutheran Outdoors Ministry of Texas
P O Box 457
La Grange, Texas 78945
1-979-968-1657
1-800-362-2078
fax 1-979-968-1658
lomt@lomt.com
2016 Camp Lone Star Rd
La Grange, Texas 78945
1-979-968-1657
1-800-362-2078
After Hours 903-357-3036
lonestar@lomt.com

© 2017 Lutheran Outdoors Ministry of Texas
All Rights Reserved

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