4th Annual Dance Unto the Lord Conference “A Breakthrough Worship Experience”
DUTL 2006

APPLICATION

Please fill out the form below. Please print legibly.
	
AUGUST 3-5, 2006

Name: ________________________________________________________________

Address: ______________________________________________________________

City: __________________________	State: ____________________________

Phone: _________________________	Fax: _____________________________

What level classes will you be participating in?
 
____ Level I – Advanced/Intermediate    ____Level II  – Beginning 

How did you hear about the conference? _______________________________

Did you receive a Liability Waiver? ____ Yes    ____ No

If you are registering as a group, please note that everyone should fill out a separate form. Please feel free to duplicate.

CHECK: _____________________ Make Checks Payable to: Dance Unto the Lord, Inc.
                Amount      Check #      Date  

CASH: ___________________