Midwest LTC Observer Registration Form


WHO IS AN OBSERVER:
Anyone who plans to attend the MWLTC convention, but is not a participating student.

WHO SHOULD NOT USE THIS FORM:
Students that are participating in the MWLTC events should not use this form. They should be registered as students.


Home Congregation: ______________________________________________________


Name:		_________________________________________________________

Street Addr:	_________________________________________________________

City, State ZIP	_________________________________________________________

Phone number:	( _________ ) ___________________________________________

E-mail address  _________________________________________________________
(optional)

May Midwest LTC contact you about LTC information?	YES	NO
(circle one please)

Other members of your household that are also observers can be added below:






WHAT SHOULD I DO AFTER COMPLETING THIS FORM:
Take the completed form with you to the MWLTC convention and turn it in to the LTC Central desk.

Thank you,
MWLTC Convention Staff