2017 Kirtland Temple Priesthood Retreat Registration Form

Please fill out as completely as possible. There is a $10.00 non-refundable fee to cover costs. Please mail fee, or bring to the retreat. Make checks payable to “Conference of Restoration Elders” with a memo “Kirtland Fee.” The Coordinating Council is responsible for approving registrations if there is a question concerning eligibility. Fees may be mailed to the CRE PO Box 4085, Independence, MO 64051. All travel, lodging, and dining arrangements are to be made by each individual. The following motels are within 5 miles of the Kirtland Temple: Best Western, Days Inn, Motel 6, Super 8, and Red Roof Inn. For additional information contact the CRE office by phone, (Toll Free) 877.748.8947, or (Local) 816.836.3421, or email the CRE at eldersconference7@gmail.com.

1. Please enter your name and contact information.

2. Indicate current priesthood office you hold.

3. Please provide the ordination date of your current priesthood office, and the name and priesthood office of the men who ordained you. Please list spokesman first. (This information is not required if you have been previously approved)

4. Please provide the name and location of the Restoration Branch/Group you attend; or if you are not active in a Restoration Branch, please explain your situation.

5. Approximate time and day you expect to arrive in Kirtland, and where you will be staying.