Please fill out the form below to apply for a weekend:
Encounter Weekend Application Form
you about the Weekend?
Weekend you want to attend:
weeks in advance needed to insure hotel reservation)
additional questions, comments, dietary requirements (i.e. diabetic or
vegetarian), need for accessible room, or other special needs:
am mailing my $50 check to:
c/o Paul & Marilou Clouse
7556 Embers Lane
Canal Winchester, OH
call me for my credit card information
click "Send", your information will be sent via e-mail to the
Columbus Ohio Area Application Coordinators, Paul & Marilou Clouse. You will
receive further instructions in the mail. If you wish, print this form and
send it along with your check.