Workshop Registration

Registration is $85 and includes Registration Packet, Meals, and the Banquet. Commemorative T-shirts are not included in the registration price, but can be purchased for an additional $10. Each person must register individually for a variety of reasons: name tags, seating, T-shirts, “Welcome” bags and preparation of meals. If you encounter difficulty, call 502-774-3986 to leave a message and call-back number.

2025 National Jail and Prison Ministry Workshop Registration Form

Name (Last, First)*

Email Address*

Mailing Address

Home Congregation*

$10 Commemorative T-shirt (T-shirt is not included in registration)*

Small

Medium

Large

X Large

I do not wish to order a $10 commemorative T-shirt

Please list all food allergies. If you do not have any food allergies, please respond with "Not Applicable"*

What method will I utilize to pay my $85 Registration and $10 T-shirt fees?*

Mailing to P.O. Box 11148, Louisville, KY, 40251

CashApp $Midwestcofc

Online www.midwestchurchofchrist.org

Registration payment can be collected three different ways.

Locate the Donate Tab and note “Jail and Prison Ministry Workshop”

Pay via CashApp to $midwestcofc and memo “Jail and Prison Ministry Workshop

Mail it to Midwest church of Christ P.O. Box 11148, Louisville, KY 40251

Checks Payable to Midwest church of Christ