Registration | Com. Conversation

Registration | Community Conversation

November 14, 2022 - 6:30-8:00 pm - Zoom
Use this form to register for the next Community Conversation. We ask that you provide your email address so that we can provide the Zoom link for the event. Requesting registrations for the online event will help to create a safe space.

If you would like to receive our enewsletter, please check the box below. If you are already on our email list, you can leave the box unchecked.

We also ask for your ZIP code so that we can understand where we reach. The rest of your mailing address is optional. In the future, we may reach out with "snail mail" to thank you and keep you updated on our work.

We will never share or sell your personal information.
First Name*
Last Name*
Email*
example@example.com
Would you like to be added to our email list? Leave blank if no or if you already receie our emails.

Yes
ZIP Code*
Please provide your ZIP code so that we know what areas we reach. Thank you!
Full Mailing Address (optional)

Street Address

Street Address Line 2

CityState

ZIP Code
After you click REGISTER below, we will send you a confirmation email. A few days prior to the event, we will send you the Zoom link. If you have any questions, please contact us at jprusa@journeytobethany.org or 816-683-8999.
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Registration | Community Conversation