2019 Registration

2019 ONLINE REGISTRATION FORM

Co-hosts:
Schrader Lane Church of Christ
40th Avenue Church of Christ

Executive Committee Chair: Susan Tucker Jones

Executive Committee Members:
Shauna Otis, Darrell Johnson and Leslie Boone

Register and make check(s) payable to:
NCSS 2019
Attn: Darrell Johnson
P.O. Box 60251
Nashville, TN 37206-0251

Click to Download Registration
(please type information on form and print)

Airport
BNA Nashville International Airport

Regular Registration until 07/31/2019 *

Regular Registration ($185)

Payment Information:

Payment methods by cashier check, money order, or Pay Pal. We encourage early registration!

No Refunds after June 30th, 2019!
Prices go up after July 31, 2019!
Late Registration ($195) begins August 1st
Onsite Registration ($200) begins August 16th
*(Cash or Credit Only)

Identity Theft Warning:
It is very important not to give personal information via the NCSS website unless for purchase only. Otherwise, it will be discarded and NCSS will not be held liable for any damages.

* Indicates required field

Name (One registration per applicant) *

First

Last

Contact Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Number *

Name of Credit Card Holder *

Congregation/Church Name *

Emergency Contact Name *

First

Last

Emergency Contact Number *

As an activity, we will be going to Opry Mills Mall. Will you attend? Yes or No *

List any medical issues or food allergies *

Will you be purchasing a T-Shirt? If so, please list your size. *

Submit

(After you have completed the registration form and hit Submit, please click Add to Cart to make your payment via Paypal.)