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Seventh-day Adventist Church

Seventh-day Adventists are devoted to helping people understand the Bible to find freedom, healing, and hope.

About the Adventist Church:

Service Vitality Spirituality Beliefs

PATHFINDER CAMPOREE REGISTRAION FORM

Laisser ce champ vide

Laisser ce champ vide

Laisser ce champ vide

* Champs obligatoires

NB: This form is to be filled only by those who have paid their registration fee. / Ce formulaire doit être rempli uniquement par ceux qui ont payé leurs frais d'inscription.

PERSONAL INFORMATION / INFORMATION PERSONNELLE

Name / Nom*

Premier

Dernier

 

Date of Birth*

yyyy/mm/dd

Age*

Gender*

Other Position / Autre

Country / Pays*

City of Residence / Résidence*

Email Address / Adresse E-Mail*

Phone Number / Téléphone*

Field / Champ*

Local Field (Such as Conference or Mission) / Champ local (tel que Fédération ou Mission)*

Language of communication / Langue:*

English / Anglais

French / Français

Portuguese / Portugais

Spanish / Espanol

EMERGENCY CONTACT INFORMATION (Required) / PERSONNE A PREVENIR EN CAS D'URGENCE

What type of meals

Vegetarian

Non Vegetarian

For Cap: Indicate the measurement (centimeter) of your head

FEEDING / ALIMENTATION

Breakfast and Lunch / Petit déjeuner et déjeuner

Are you on special diet? / Êtes-vous sur un régime spécial?*

Yes / Oui

No / Non

If yes, give details / Si oui, donnez des détails

ACCOMMODATION / HEBERGEMENT

All participants will be accommodated in the dormitories / Tous les participants seront logés dans les dortoirs

PAYMENT

Participation Fee + Accommodation + Feeding = 50 000 Fr CFA

Date limit : June 30, 2018

Paid*

Yes

Date of Payment

yyyy/mm/dd

Where*

Local Church

District

Conference / Mission

Union

WAD

GC

THANK YOU AND GOD BLESS!

Seventh-day Adventist Church

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Lot 10, rue du Bélier, Cocody Ambassades , 22 BP 1764 Abidjan, Lagune Côte d'Ivoire +225 07 98 30 82 52

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