Sponsorship Form | The Road Map

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Sponsorship Registration Form

This form is to be used if you are being sponsored either by your church or an individual paying for your encounter.

First name

Last name

Street Address

Street Address Line 2

City

State

Postal / Zip code

Email

Phone

Birthday

Emergency Contact Name

Emergency Contact Phone Number

Relationship to Emergency Contact

Emergency Contact Email

Indicate the Type of Encounter and Date you would iike to attend. (ex. Men's Return February 7-11)

Indicate the name of the church or person who is sponsoring you.

Food Allergies

What is the name of your home church?

How did you hear about us? (If friend or church, please write the name)

Prayer Requests

Thank you for signing up. More information will be emailed to you at a later date.

3217 108th St SW
Byron Center, MI 49315
Chuck- 616-291-6493
info.theroadmap@gmail.com

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