Assembly Attendees RSVP Only use this form if you are NOT a Mosaic Conference delegate. For Delegates, please use this form. Name(Required)Nombres | Nama Anda First Last Email(Required)Correo electrónico preferido | Email Anda Place of Worship / Ministry:(Required)Lugar de ministerio | Tempat pelayananDays I plan to attend:(Required) Saturday only – Nov 1 (9:00 am–4:30 pm, Assembly) – Souderton Mennonite Church I am attending Assembly as:(Required) Spouse or family member of a delegate Guest Staff Board member Committee member Volunteer Other (Saturday Only) Are you staying for lunch?(Required)¿Te quedas a almorzar? | Apakah Anda tinggal untuk makan siang? Yes No Dietary Restrictions / Food Allergies?¿Restricciones de la dieta? | Larangan / pantangan makan?(Saturday Only) Do you need childcare?While we do not provide programming for children, childcare is available on Saturday only for children up to age 11. Childcare is provided during the worship service and delegate sessions. At all other times, children will be with their parents. Yes No You selected “Yes” for childcare. Please provide the name and age of each child.(Required)NameAge Add RemoveThis field is hidden when viewing the formWould you like to volunteer at the Assembly?(Required)There are many ways to volunteer during Assembly weekend! Volunteering is a great way to serve the Mosaic community and meet new people. Opportunities include Friday set-up at SMC, helping with luncheon or buffet tables, serving coffee or refreshments, assisting with room set-up on Saturday afternoon, and driving shuttles Friday through Sunday. Yes No This field is hidden when viewing the formPlease specify your area of interest or skills:(Required)(e.g., set-up, driving, serving food, or other skills you’d like to contribute)This field is hidden when viewing the formVolunteering Availability(Required) Friday Saturday Sunday Select All
