NCA Association Registration Form NCA Annual Gathering, Saturday, October 25, Immanuel Baptist Church, 400 Sunny Drive, Beulah, ND Registration Deadline - October 17 * required field Question Title * 1. Name Question Title * 2. Email Question Title * 3. Phone number Question Title * 4. Home Church Name Question Title * 5. Home Church city and state Question Title * 6. What is your primary role at your church? Pastor Ministry Director Church Staff Non-staff Church Leader Church Member Other (please specify) Question Title * 7. Are you a delegate from your church? Yes No Question Title * 8. Breakout Session 1 (11:15am) (Please select one) Merv Budd - Q and A: Personal Evangelism Jeff Kilmartin: A Modern Book of Acts Rich Cook: The Pastor’s Finances Randy Tschetter: NAB Heritage Commission Question Title * 9. Breakout Session 2 (1:30pm) (Please select one) Merv Budd - Q and A: Personal Evangelism Jeff Kilmartin: A Modern Book of Acts Rich Cook: The Pastor’s Finances White Cross (interactive) Please RSVP for the following events Question Title * 10. Do you plan to eat LUNCH onsite? (We will collect a free-willoffering to help cover expenses) Yes No Question Title * 11. Do you plan to attend the NCA Pastors/Ministry Staff and Spouses Retreat on Friday, October 24th (including retired pastors and missionaries)? Begins 1 p.m. Dinner will be provided at the church at 5:00PM.Sessions: Jeff Kilmartin: Polygamy in the ChurchMerv Budd: A Personal Story of God’s Grace Yes No Question Title * 12. If attending Pastors/ Ministry Staff Retreat or Association Lunch, please designated any food aversions or allergies (if any). Done