Annual Conference Registration/Registro/Usajili
June 5-6, 2026
Name/Nombre/Jina
*
First Name
Last Name
How would you like your name to appear on your name tag?/ ¿Cómo le gustaría que apareciera su nombre en su etiqueta de identificación?/ Je, unataka jina lako lionekane vipi kwenye lebo?
Address/Direccion/Anuani
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number/Numero de telefono/Simu
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email/Correo electronico/Barua pepe
*
example@example.com
Church or organization you are representing/Iglesia a la que representa/Kanisa Unalowakilisha
*
Church website/Pagina web de su iglesia/Tovuti ya kanisa
Mission District/Distrito Mission/Jimbo la Misheni
Heartland
Metro Chicago
Team North
Upstate Illinois
Wisconsin
Central West (formerly 3D)
NCC Jimbo la Umoja
Position/Posicion/Jukumu
*
Delegate/Delegado/Mjumbe
Elder/Presbitero/Mzee wa Kanisa
CMC-Serving as a lead pastor/Sirvendo como Pastor Titular/Mjaribiwa Mwanamemba wa Baraza aliye kama Mchungaji Kiongozi
CMC/Mjaribiwa Mwanamemba wa Baraza
LMC/Mlaiki Mtarajiya Majaribio
Licensed Pastor/Pastor licenciado/Mchungaji mwenye Leseni
Visitor/Visitante/Mgeni
Presentor/Presentador/Mwalimu-mtoa mada
Other (please indicate below)
Please indicate your position if "Other"
Will your spouse be attending?/ Estara asistiendo su conyuge?/ Je, mke wako atathudhuria?
*
Yes/Si/Ndio
No/Hapana
Name of spouse/Nombre de su conyuge/Jina la Mchumba
Will your children be attending?/ Estaran asistiendo sus hijos?/ Je watoto wako watahudhuria?
*
Yes/Si/Ndio
No/Hapana
- If your children will be attending, please indicate their names and ages. Please note: Childcare will not be provided. - Si estaran asistiendo sus hijos, por favor indique los nombres y edades de los ninos. Por favor nota: no se estara proveyendo cuidado de ninos. - Je! Watoto wako watahudhuria? Ikiwa ndio, tafadhali handika majina naumri wa watoto wanaohudhuria. Tafadhali kumbuka pia: Huduma ya watoto haitatolewa.
Housing request (if available)/Solicitud de vivienda/Ombi la Malazi
*
Men's Dorm/Kulala kwa Wanaume ($20/night)
Women's Dorm/Kulala kwa wanawake ($20/night)
Motel Room at Sky Lodge - ($60/night) (FULL - WAITLIST ONLY)
Cabin wing for a family/Cabin wing kwa ajili ya familia ($70 - $80/night depending on assignment)
Campsite for tent or pop up camper/Campsite kwa ajili ya hema au pop up camper ($28/night)
Campsite for trailer or motorhome/Campsite kwa trailer au motorhome ($40/night)
I made my own reservations at an off site motel/Nilifanya kutoridhishwa kwangu mwenyewe kwenye tovuti ya mbali motel
Day and approximate time of arrival (example: Thurs afternoon, early on Friday)/ Día y hora aproximada de llegada (ejemplo: jueves por la tarde, temprano el viernes)/ Siku na saa ya kufika (k.m. Alhamisi magaribi, ljumaa asubuhi)
*
What meals do you plan to eat at Sky Lodge?/ ¿Qué comidas planeas comer en Sky Lodge?/ Ni milo gani unapanga kula ukiwa pa Sky Lodge?
*
Thursday dinner/Jueves cena/Alhamisi usiku
Friday breakfast/Viernes desayuno/Ijumaa asubuhi
Friday lunch/Viernes almuerzo/Ijumaa mchana
Friday dinner/Viernes cena/Ijumaa usiku
Saturday breakfast/Sabado desayuno/Jumamosi asubuhi
Saturday lunch/Sabado almuerzo/Jumamosi mchana
None/Ninguno/Hakuna yeyote
Are you gluten or dairy free?/ ¿No consumes gluten ni lácteos?/ Je, hautumiye gluteni (ngano ya mgando) au maziwa?
Yes/Si/Ndio
No/Hapana
How many people in your party will need gluten or dairy free meals from the kitchen?
In what language would you like to receive your registration confirmation?/ ¿En que idioma le gustaría recibir su confirmación de registro?/ Ni katika lugha gani ungependa kupokea uthibitisho wako wa usajili?
English
Español
Kiswahili
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