2023 Northern Spirit Regional Council Annual Meeting Registration Form

2023 Northern Spirit Regional Council Annual Meeting Registration Form
Event Date: May 4 — 7, 2023

Event Address: Camrose, AB

Our main meeting location will be Camrose United, 4829 50 St, Camrose, AB T4V 1P6.
Registration

This registration form is for the use of Ministry Personnel, Elected Lay Representatives of Communities of Faith, Guests, and Staff who are planning to attend the 2023 Annual Meeting.

Please complete all relevant sections of the form and be sure to click on the "Submit" button at the very end.

If you have any trouble with the online Registration form, or if you'd prefer to fill out the form over the phone, contact Chloe Burns in the Regional Office, at 780-435-3995, or NorthernSpirit@united-church.ca.

The deadline for registrations is April 15th, 2023.

Please note that any registrations submitted after April 15th will be charged an additional 25$ late fee.

The United Church of Canada is committed to protecting the privacy of personal information. Personal information is collected, used, maintained and disclosed in compliance with the United Church of Canada Policy and applicable federal and provincial privacy legislation including, but not limited to, The Personal Information Protection and Electronic Documents Act.
Contact Information
Required: Your Name (as you wish it to appear on your name tag)*

First NameLast Name
Your Pronouns:
Please type your pronouns here as you wish them to appear on your nametag.
To learn more about what personal pronouns are, and why you are being asked for this information, please click here.
Required: Email Address*
example@example.com
Required: Phone Number*
Please enter the best phone number to reach you at.
Required: Name of Pastoral Charge, Community of Faith, or Other Ministry*
Required: City/Town/Location of Pastoral Charge, Community of Faith, or Other Ministry*
Required: I will be attending the Annual Meeting as:*

Ministry Personnel - Active or Retired or Retained (Voting)Elected Adult or Youth Lay Representative (Voting)Guest Adult or Youth Participant (Non-Voting)Child (under 12 years old - non-voting)Staff (Regional or General Council)Other
For Lay Representatives: We post a password-protected online Directory on the Regional Council web site. You have the option of not having your personal contact information included. If you DO NOT want your personal contact information to be included, please click here:

Opt-out of my information being included in Regional Directory
Workbook: The key documents for this meeting will be posted to, and can be downloaded from, the Northern Spirit Regional Council web site. A link will be emailed to you when your registration has been received. Please note below if you cannot access an online copy, and need a printed copy for the meeting.

I am not able to download a workbook, and will need a print copy.I am not able to download a workbook, and have additional concerns about the workbook, for example if large print is required.
What accessibility concerns do you have about the workbook?
Do you have any accessibility concerns in attending the meeting?
For example: mobility, vision, or hearing considerations.
Meeting Details and Costs

Attendance Options:

The full four-day programme of the Meeting will only be available in-person. However, certain portions of the Meeting will also be livestreamed for those who are unable to attend in person. Full details about virtual attendance will be finalized soon. There will be a 50$ fee for virtual attendees, and it is hoped that those attending via Zoom will be able to participate in votes. If you are hoping to attend virtually, please register now and wait for further details about payment and virtual access.

Accommodation:

Representatives and Guests are responsible for arranging their own accommodation. Information about accomodations options can be found by clicking here. Please note that these rooms & rates are set aside until April 1st only.

Registration Fees:

In-Person Adult: 175$
In-Person Youth (12 - 17 years old): 100$
In-Person Child (under 12): 75$

For in-person attendees, the registration fee of $175 includes all meals, as well as other Meeting materials.

Child care & children's programming will be available Thursday afternoon, Friday, and Saturday during each day's agenda, excluding meals.

If you have any questions about attendance options, please contact the office.

Payment Options:

1. E-transfer: please send your registration fee by eTransfer to NorthernSpirit@united-church.ca. *Make sure to indicate your name and that you are paying your Annual Meeting Registration in the memo line.

2. Via Cheque: please mail & make cheque payable to: Northern Spirit Regional Council, 13535 122 Avenue NW, Edmonton AB T5L 2V7.

Registrations will not be confirmed until payment is received.

There will be no refund for cancellation after April 1st, 2023.

Also please note if you pay the $50 for online attendance, you will not be included in in-person arrangements, and we will not be able to accomodate a change in attendance past the registration deadline.
Required: How are you planning to attend the Annual Meeting?*

I will be attending in-person, in CamroseI am hoping to attend the livestreamed and/or Zoomed portions of the Meeting as an online attendee
Please indicate your payment method:

eTransferMailed chequeOther: I will discuss payment options with the office
Which meals are you planning on attending?

Thursday LunchThursday DinnerFriday LunchFriday DinnerSaturday LunchSaturday Celebration BanquetSunday Reception
Dietary Requirements: please note that while we will try to accommodate dietary requests, we cannot guarantee that there will be no cross-contamination.

Gluten IntoleranceLactose IntoleranceVegetarianVeganSpecific AllergyOther
If you selected that you have a specific allergy, or other dietary requirements, please name them here:
Are you interested in being a part of the choir at the Annual Meeting? Please note that this is simply an expression of interest to get an idea of numbers, and not a commitment.

YesNoMaybe
Are you interested in acting as a Table Group Leader at the meeting, facilitating and guiding conversation?

YesNoMaybe
Do you have any further comments, concerns, or questions regarding your Annual Meeting Registration?
Should be Empty: