Women Who Minister 2023 Conference Registration Form

Women Who Minister 2023 Conference Registration Form

January 19-21, 2022
Participant's Information
Full Name*

Title First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
example@example.com
Date of Birth*
First time attending a Women Who Minister event?*

YesNo
COVID-19 Vaccination Questionnaire
Are you vaccinated ?*
If no, will you be vaccinated by the conference ?*
Have you received a COVID booster shot ?*
Please upload a copy of your vaccination card. If you are unable to upload a copy, it must be presented upon arrival to the conference.

Cancelof
NOTE: If you are unvaccinated, you must submit to daily COVID testing each morning at 7:30am.
Church/Ministry Information
Church Information

Ministry Position (s)/Title How long have you served in this ministry?
Church Name

Street Address

CityState / Province

Postal / Zip Code
Workshop Selections

Please select your workshop. Refer to the WWM website for descriptions.
PLENARY I: Where Are The Cracks?*

I am Grieving and Need Healing/Just Don’t Want to be LonelyWho Am I in the Eyes of God? Who Am I in My Own Eyes?Faith over Fear: Understanding I am an Overcomer
Plenary II: If the foundations are destroyed, what can the righteous do?”*

Restoring our Mental Wholeness/Restoring our Physical HealthRestoring our Prosperous SoulRestoring our Prosperous Soul (Clergy Only)
Conference Fees

Register by September 30th with a deposit of $125.00 to secure your room. The deadline for full payment is October 15th.
Occupancy - Please check one box*

Single: Registration + 2 nights Hotel + 5 meals + Transportation - $575.00Double: Registration + 2 nights Hotel + 5 meals + Transportation - $440.00Single (No Transportation): Registration + 2 nights Hotel + 5 meals - $525.00Double (No Transportation): Registration + 2 nights Hotel + 5 meals - $390.00Conference Only - $245.00
Name of roommate: Unless you are paying for a single room, YOU MUST identify your roommate. The conference administrators are not responsible for finding you a roommate. If you do not have a roommate by October 21st, you will be responsible for paying the full cost of a single room. *
Please list any dietary restrictions:*
If you are unable to attend the conference because of a positive COVID test, you may transfer your registration to another woman. Unfortunately, we will not be able to offer refunds. You will, however, receive a copy of all plenary sessions and worship services.
Conference Payments
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Conference Deposit (Deposit is Non-Refundable)
$125.00



Conference Only
$245.00



Single2 nights Hotel + 5 meals + Transportation
$575.00



Double2 nights Hotel + 5 meals + Transportation
$440.00



Single (No Transportation)Registration + 2 nights Hotel + 5 meals
$525.00



Double (No Transportation)Registration + 2 nights Hotel + 5 meals
$390.00



Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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Women Who Minister 2023 Conference Registration Form

Participant's Information

COVID-19 Vaccination Questionnaire

Church/Ministry Information

Workshop Selections

Conference Fees