attendance card

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CLERGY CHECK-IN / REGISTRATION Credential/Attendance Certification Form - 234th Annual Session - 2018 INDICATE YOUR CURRENT CLERGY/CONFERENCE STATUS BY CHECKING ALL THAT APPLY  Full Member (Elder)  Active -FE

 Retired-RE

 Full Member (Deacon)  Active-FD

 Active -AM

 Other Methodist Conf. / Denom.

 Retired-RA

 Serving on BOOM

 Deacon-PD

 Retired-RP

 Full Elder-OE

 Full Deacon-OD

 Provisional-OP  Associate-OA  Retired-OR

 Retired-RD

 Provisional Member  Elder-PE

 Associate Member

 Local Pastor (Active)

 Non-Methodist Denomination

 Full-Time-FL  Part-Time-PL

 Full Member-OF  Provisional-OP

 Serving on BOOM

 Affiliate Member: AF

 Local Pastor (Other)

 Lay Pastor* – SY / LH

 Not Appointed-NL  Retired-RL

* Currently Pastoring a Church

Voting privileges are based on the 2016 Book of Discipline (¶ 602 / pg. 407)

BWC District: Annapolis (If Applicable)

Central MD Cumberland-Hagerstown Frederick

Baltimore Metropolitan Baltimore Suburban Greater Washington Washington East

Attendance:  Executive Session (Wed.)

 Wednesday

 Thursday

 Friday

Signature Print FULL Name (First, M.I., Last)___________________________________________________________ Are you moving this year?

Estimated Move Date

Current Home Street Address City

State

Home Phone

Cell Phone

Zip

Home E-mail Address Current Church Name

___________________ Church ID

Church City/ State

________________________________________________

Present form in person at the Annual Conference Clergy Check-In Area (if pre-registered) or the Registration Area (if registering on-site) to pick up your badge, voting card and electronic voting unit. DO NOT MAIL.