Conference

Conference Registration

General Information

Please fill out this form to begin your registration.

After submitting this form, you will be contacted by our staff to confirm your accommodations preferences and to arrange your payment.

I would like to register for... (*)
Conference Only ($250)
Conference + Intercontinental Hotel ($920 - Double; $1120 - Single)
Conference + Shepherd Hotel ($750 - Double; $899 - Single)
Homestay
Other

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Full Name (*)

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Street Address (*)

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City (*)

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State

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Zip/Postal Code

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Country (*)

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Email Address (*)

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Phone Number (*)

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Date of Birth (*)

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Church/Organization Affiliation

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Occupation

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Gender

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Additional Questions

Are you a vegetarian? (*)
YesNo
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Do you have specific medical needs or mobility problems? (*)
YesNo
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If yes, please explain:

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How did you hear about the conference?

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