Individual Registration Information First Name MI Last Name Sex --- Select --- Male Female Title Email Address Address 1 Address 2 City State --- Select --- ARMED FORCES AMERICAS (EXCEPT CANADA) ARMED FORCES AFRICA, MIDDLE EAST, CANADA, EUROPE ALASKA ALABAMA ARMED FORCES PACIFIC ARKANSAS AMERICAN SAMOA ARIZONA CALIFORNIA COLORADO CONNECTICUT DISTRICT OF COLUMBIA DELAWARE FLORIDA FEDERATED STATES OF MICRONESIA GEORGIA GUAM HAWAII IOWA IDAHO ILLINOIS INDIANA KANSAS KENTUCKY LOUISIANA MASSACHUSETTS MARYLAND MAINE MARSHALL ISLANDS MICHIGAN MINNESOTA MISSOURI NORTHERN MARIANA ISLANDS MISSISSIPPI MONTANA NORTH CAROLINA NORTH DAKOTA NEBRASKA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEVADA NEW YORK OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO PALAU RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VIRGINIA VIRGIN ISLANDS VERMONT WASHINGTON WISCONSIN WEST VIRGINIA WYOMING Zip Church Name City State --- Select --- ARMED FORCES AMERICAS (EXCEPT CANADA) ARMED FORCES AFRICA, MIDDLE EAST, CANADA, EUROPE ALASKA ALABAMA ARMED FORCES PACIFIC ARKANSAS AMERICAN SAMOA ARIZONA CALIFORNIA COLORADO CONNECTICUT DISTRICT OF COLUMBIA DELAWARE FLORIDA FEDERATED STATES OF MICRONESIA GEORGIA GUAM HAWAII IOWA IDAHO ILLINOIS INDIANA KANSAS KENTUCKY LOUISIANA MASSACHUSETTS MARYLAND MAINE MARSHALL ISLANDS MICHIGAN MINNESOTA MISSOURI NORTHERN MARIANA ISLANDS MISSISSIPPI MONTANA NORTH CAROLINA NORTH DAKOTA NEBRASKA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEVADA NEW YORK OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO PALAU RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VIRGINIA VIRGIN ISLANDS VERMONT WASHINGTON WISCONSIN WEST VIRGINIA WYOMING Zip Workshop Date --- Select A Workshop Date --- Workshop(s) Attending Please choose any four workshops   Costume making   Spoken Word (Rap and Poetry)   Liturgical Dance   Staging - Casting and Directing   Play Writing   Youth Ministry Ideas   Registering as an individual - $50.00      Registering as part of a group of six or more - $30.00   Yes, I am also registering for a competition     About Us | Browse Catalog | Outstanding Dramatists | Calendar Of Events | Workshops | Workshop Registration | Discussion Forum | Contact Us | Home ©2006 Black Church Plays. All rights reserved.   Design by: Rebirth Designs