Southport
Great Banquet
7525 McFarland Boulevard -Indianapolis, Indiana 46237
Phone (317) 788-5925 Email: registrarsgb@comcast.net
The
Southport Great Banquet is a three-day experience of renewal;
learning and sharing in the atmosphere of a Christian community.
It is a different experience for each individual. It does not
provide a climate for the solution of deep-seated problems, but is
designed to help mature people to work toward a Christian way of
life with community support. Husband and wife are invited as a
couple, although they attend separately; usually, the husband
first. Each person must submit a separate application. Married
couples are requested to turn in both applications at the same
time.
For
which weekend is this application:
First
Name Last
Name
Name to appear on name
tag
Address
City State
Zip
Phone
Work
Phone
E-mail
Age
Number of
children
Church Affiliation, if any
Marital
Status Are you on a special diet? DOB (xx/xx/xxxx)
Are
you on special medication?
Do
you have a health problem or physical handicap that may affect
your attention at the Great Banquet?
If yes, please
specify:
State briefly why you wish to
be involved in the Great Banquet and what you expect from it:
My sponsor is (including
name, address, City, State,
Zip):
My sponsor's phone
number
is:
My sponsor's email
address is (if
possible):
There
is no specific charge for the weekend; but you will be given the
opportunity to make an offering if you so desire. You may give any
amount or nothing. We do request a $10.00 registration fee which
should be given to your sponsor along with your completed
application. Make checks payable to the Southport Great Banquet.
This form is an application and its submittal does not guarantee
acceptance. You may be placed on a waiting list since we only have
a certain number of spaces available. Early applicants will be
notified of acceptance by letter before the Great Banquet.
If the situation should
arise, are you willing to fill an opening up to the day of the
Banquet?
Remittance Address:
Southport Great Banquet
c/o Penny Kroening, Registrar
5825 Dan Patch Drive
Indianapolis, IN 46237