The document is a registration form for the 2012 LCMS Hmong Ministry Conference being held from July 19-21 at Our Savior Lutheran Church in Lansing, Michigan. It requests information such as name, address, phone number, emergency contacts, and health insurance from participants. For youth attendees, it also asks for grade/education level. The form includes an acknowledgment and release of responsibility that must be signed by participants or their parents. Completed registration forms with a $10 check are due by June 30th and should be mailed to Rev. Chia Thao.