Participant Contact Information

I am a...*

Rostered Minister ($40.00)
Synod Authorized Minister ($40.00)
Congregation/Parish Lay Staff ($40.00)
Congregation/Parish Council President ($40.00)
Congregation/Parish Council Member ($40.00)

Subtotal

$0.00

Conference*

Note: The abbreviation for Deacon is Dn. The abbreviation for Sister is Sr.

Title*

Name*

Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Congregation/Organization

If you are a multi-point parish pastor, select "I serve a multi-point parish..." from the drop down list and a list of parishes will appear.

If your congregation or organization is not listed, select "Not listed..." and you will be able to enter in the name of your organization/congregation.

All cities are based on mailing address.

Choose your congregation/organization...*

Additional Information

Multiple Choice*

Do you have dietary restrictions?
Yes
No

Please select all that apply

Gluten-free
Dairy-free
Vegetarian
Vegan
Other

Do you have accessibility restrictions?*

Total Cost

To offset the cost of processing credit cards, a credit card processing fee of $2.50 per registrant.

If you wish to remove this fee by paying by check, in the billing section select "check payment" and the fee will be removed.

Credit Card Fee

$2.50

Running Total

$2.50

Total

$2.50

Terms & Agreements

Terms & Agreements*

Upon completion of the registration, I understand that no refunds will be given for any reason. I understand that I will, in all cases, be expected to pay for any amount I have agreed to with this registration, regardless of if the payment is made by credit card, check, or cash and regardless of if the participant attends.

I also agree that payment for this registration is not a charitable tax-deductible donation.

I have read and agree to the terms above.

Coupon Code

Billing Information

Name*

Payment Method

Credit Card
Check

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

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