Together For Good Registration - Countryside Community Church

Please fill out the form below to register for this event. Please pay your registration fee via e-transfer or to your local church rep as soon as possible after registering.

First Name

Spouse's Name

Last Name

Your Phone Number

Spouse's Phone Number

Preferred Method of Contact?

Home Church

How Many Years have you been married?

Do you have any dietary restrictions? If so, please list them.

How will you be paying your $80 registration fee? (required)

e-Transfer to giving@ccclacrete.com Please note Together for Good in the memo!

Give to my Local Church Rep – Gordon Foster (LCCF)

Give to my Local Church Rep – Ken Wiebe (CCC)

Give to my Local Church Rep – George Dyck (LCBMC)

Give to my Local Church Rep – Byron Janzen (TEC)

Give to my Local Church Rep – Tanner Grinde (VC)

Pay at door (at the door payment is $100)

Contact information