G R E E N L A K E C O N F E R E N C E C E N T E R
General (Adult) Scholarship Application
Name
Address
Address Con't
City
State
Zip Code
Home Phone
Work Phone
E-Mail Address
Church Name
Church Address
Church Address Con't
Church City
Church State
Church Zip Code
Church Phone
Is this your first conference at GLCC?
Yes
No
What conference are you attending?
What are the conference dates?
Confirmation Number (Required)
Where is your lodging?
Group Leader Name
(if applicable)
Group Leader Phone #
(if applicable)
Are you 21 or older?
Yes
No
W2511 State Road 23 Green Lake, WI 54941
(920) 294-3323
Green Lake Conference Center
Founded by American Baptists in 1943
