Northern Illinois Synod Women of the WELCA

Retreat Registration Form-2026

“Raising Our Voices: Proclaiming the Gospel When the World is Loud”

Saturday, April 26, 2026 9:00 AM-3:00 PM

Program and worship led by Pastor Laurie Hensley, Bethany ELCA, Woodhull, Ill.

Use this form to register for the Retreat—please note the deadline for registration.

Include a check for $30.00, made payable to “NIS WELCA” for your registration fee which includes coffee, snacks, lunch and materials. If you would like to contribute to any of our mission fields we support we would appreciate that as well. They are LSSI Prison Ministry Story Book Program, Our Savior’s Lutheran Church located on Rocky Boy Indian Reservation in Montana, Tanzania Women’s Department, India-Arcot Women’s Desk, and “Dollars for our Daughters.” Be sure to note these additions below on your registration form.

Send this form and your check to NIS WELCA to Kay Johnson-6043 E. Skinner Rd., Stillman Valley, Il. 61084. The registration deadline is April 1, 2026.

LOMC, 1834 S.IL Rt. 2, Oregon, Il. 61061

Registration and coffee: 8:30-9:00 AM

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Please Print

Name_____________________________________________________Conference________________

Address__________________________________________________

Phone #______________________ Email:__________________________________________

Church Name/Address___________________________________________________________________

Do you have a Companion Parish?_______ If so, where is it?______________________________

Registration Fee: $30.00

Special needs (diet, physical, etc.)___________________________________________________________

I have applied for a scholarship: Yes_____	No______ (please check one)

I wish to contribute the shown amount to the below mission(s):

LSSI Story Book_______________	Tanzania Women’s Department__________

OSLC at Rocky Boy____________ India-Arcot Women’s Desk_____________

Dollars for our Daughters_______________

Office use only: Check Received __________________ Confirmation Sent________________