ATTENDEE INFORMATION
Registration Type
Single Registration
Couples Registration
Main Registrant Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Spouse's Name
First Name
Last Name
Number of children currently in your care
Total number of children that you have cared for in your home
Check all that apply to your family
First Time attending Conference
Foster Parent
Domestic Adoption
International Adoption
Psychologist/Therapist
Teacher
Child Welfare/Social Worker
Church Leader/Pastor/Orphan Ministry Leader
Employed/Volunteer in Orphan Care
Transracial Family
Relative (Kinship) Caregiver
Bio Parent of Foster/Adopted kid
Single Parent
Blended Family
Adult Adoptee
Adopted from Foster Care
Aged Out of Foster Care
Considering/In Process of Adoption
Considering/In Process of Foster Care
Interested in Learning more
Other
DIGITAL AGREEMENT
I agree not to record any portion of the broadcast or sell or distribute digital downloads or share with anyone.
Yes
No
MEDIA AGREEMENT
Any video or photograph captured and shared with the Replanted Conference team/Replanted Ministry may be used later for promotional or fundraising purposes. Your registration gives Replanted Ministry permission to use these images.
Yes
No
KID FREE EVENT
This is a "Kid Free" event. That means as much as we love kids (and we really love kids) we are trying to create an environment where parents and caregivers are able to relax, unwind, and of course be Refreshed. So please no children of any age and no exceptions.
Yes - I understand
No - I can't come without my kids
Refunds
Refund Policy: Unfortunately, we are not able to issue a refund. You can transfer your registration to someone else. Contact us and let us know who you want to pass it on to and we will make the adjustment in our system. If you can't use your registration, know that the money is going to a great cause in supporting other foster/adoptive families.
Payment
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Early Bird Individual Registration
Available before October 7th, 2024
$
59.00
CAD
Quantity
1
2
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10
Regular Individual Registration
Oct 7 - Nov 1 registration window
$
79.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Couples Registration
Available through November 1st
$
108.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
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