「同工領袖培訓營」報名表

「Leadership Training」 Registration Form

Nov 13 -14, 2010
(以個人為單位，家庭則請戶長填表)

1. 個人資料 Personal Information:

Contact Title	中文姓名	Last Name	First Name	性別 Gender	年齡 Age	關係 Relationship	所屬校園或教會 Church/Campus Fellowship	語言 Language

2. 通訊資料 Correspondence Information:

住址 Address

城市 City 州 State 郵遞區號 Zip code

電話 Tel. (daytime): (evening):

傳真 Fax: 電子郵箱 E-mail:

3. 用餐 Meals：請在空格內填寫每餐用餐人數 Please fill in the number of people attending each meal.

Meals/Date	11/12	11/13	11/14
*Breakfast* (farm house)	歡迎來到樂園鎮Welcome to Paradise
Lunch	*for bed only*
Supper	*for bed only*		散會, 一路平安 Dismissal, Have a safe journey

4. 交通 Transportation: 需機場接送者，請勾選以下接送時間。若您無法配合接送時間，煩請自行安排，謝謝！
Please check the following pick-up & drop-off options offered by AFC. If you cannot make it, please make your own arrangement. Thanks!

【接送時間Pick-up & Drop-off Schedule】

7:00 pm, 11/12/10 from Philadelphia Airport ($15)　Harrisburg Airport to AFC（基督使者協會）($10)

6:00 pm, 11/14/10 from AFC to Philadelphia Airport ($15)

　 Harrisburg Airport ($10)

5. 住宿資料 Accommodation:

使者農莊AFC’s Christiana Tsai Retreat Center (Farm House)

男女分房Dormitory Style (bunk bed for individuals)

人Person

自由奉獻Free Donation

Rodeway Inn (0.71 miles from AFC)

3127 Lincoln Highway East Paradise, PA 17562

Phone: 717-687-6272, Fax:717-687-6274
　

$65.00（不含稅）

per room per night　

Motel 6 Gordonville #4174

2959 Lincoln Hwy East, Gordonville, PA, 17529

Phone: (717) 687-3880 http://www.motel6.com

$50.00（不含稅）

per room per night　

* 請於十一月十一日前自行向旅館訂房間，記得指名AFC以享優惠。
Must reserve room directly with the hotel by Nov. 11, 2010. AFC must be mentioned for the group rate.

* 如願意與另一位與會者作室友，請註明性別 (男/女) ，聯絡人員介紹室友後，請各自聯絡。
If you are interested in sharing a motel room with another participant, please state your gender (male/female). The coordinator will give names for you to contact
him/her) for further lodging arrangements.

6. 費用 Fees: 註冊費含手冊及膳食 Registration fee including handbook and meals (Before 11/7 $95, After 11/7 $120).

此研習會的原則是按能力付費，憑感動奉獻。獎學金僅補助報名費及膳宿費，交通請自理。11/7前 $95， 11/7后 $120。

項目Items	11月7日以後報名 After 11/7	Sub-Total
註冊費Registration Fee: 個人 Individual	$120	$
Pick Up		$
Drop Off		$
自由奉獻Free will offering		$
共計 Grand Total		$

*獎學金者申請請與退修會聯絡人聯繫Please contact Retreat Coordinators for scholarship application
*本培訓沒有兒童節目This training does not have children’s program

我I ( 需要Need/ 不需要 Do not need) 獎學金scholarship﹝必填﹞

Reason:

7. 報名繳費方式 Payment methods：

信用卡 Pay by Credit Card

支票 Pay by check:

請務必詳細填寫報名表所有的資料，以便完成報名手續。

只有五十個名額，請速報名！

請將填妥的報名表及費用，寄回基督使者協會總部，或當場繳費：

Please mail your payment along with the registration form to AFC or pay on site:

AFC, 21 Ambassador Drive, Paradise, PA 17562

（支票抬頭Make check payable to AFC，備註Memo：Leadership Training）

8. 神給每一位基督徒各樣的恩賜以事奉祂，請您勾選以下的事奉機會。願榮耀歸於上帝！

God has given every Christian different talent(s) to serve Him. Please indicate the area(s) below that you would
serve to glorify His name.

9. 退修會報名連絡人 Retreat Registration Contact Person
唐京华 Doreen Tang ►phone/fax: 717-687-8564 ext. 278 ► dtang@afcinc.org
陳黃淑娟 Sue Chen ►phone: 717-687-8564 ext. 210 / fax: 717-687-8891 › shuang@afcinc.org

	敬拜團隊成員 Worship team: 如：領詩 song leader 司琴 pianist Others:
	帶領小組聚會或協助小組長 Leading a small group or helping a small group leader 有經驗 has experience無經驗 no experience年經驗 years as Christian
	帶領禱告小組, 禱告小組成員, 禱告勇士 Prayer group leader, member, warriorr
	翻譯Translator: (英譯中from English to Chinese) (中譯英from Chinese to English) 年經驗year(s) of experience
	助理報到及註冊Assistance with registration
	我有車子，可以幫忙接送其他的與會者 I own a car and can provide rides to others
	休閒活動領隊 Recreation assistant
	其他現場事務／場地佈置及善後清理成員 Other Logistics/Set up and clean up crew
	會議采訪報道 Reporter (文章將被考慮刊登于使者雜志或使者網站)
	會后跟進交流協調 Follow-up Communication Coordinator

Supper