TEMPLATE Event Registration

Event Registration
Name*

PrefixFirst NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
What position(s) do you hold at your church? (Select all that apply)*

Clergy - Lead PastorClergy - Associate PastorDeaconChildren's MinisterYouth MinisterWorship or Music MinisterChurch AdministratorCouncil MemberChurch VolunteerNo Church AffiliationOther
Church/Organization Name
Church Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Denomination

ELCALutheran (Other)United MethodistPresbyterian (PCUSA / RCA)United Church of ChristEpiscopalOther
Average Weekly Worship Attendance

Under 7575 - 149150 - 299300 - 799800 or more
By attending this event I agree that my likeness (photo/video) can be used for promotional purposes.*

I agree.
Should be Empty: