2025 Deeply Rooted Women's Conference

Registration Fee - $40

Price Increases to $50 on February 10, 2025

You may transfer registration fees to another person, but they are non-refundable. Attendees are responsible for meals and lodging.

You will need each attendee's name and email address to complete this form. Email addresses will help us communicate with attendees directly. Group leaders may use their email addresses if attendees are unavailable.

Groups may register up to 25 women with this form. If you need to register more than 25 women after submitting this form, please return to this page and complete another form.

We accept American Express, Mastercard, and Visa.

How many in your group?*

Please list name and email address for each attendee.

Attendee 1 Name

First NameLast Name

Attendee 1 Email

example@example.com

Attendee 2 Name

First NameLast Name

Attendee 2 Email

example@example.com

Attendee 3 Name

First NameLast Name

Attendee 3 Email

example@example.com

Attendee 4 Name

First NameLast Name

Attendee 4 Email

example@example.com

Attendee 5 Name

First NameLast Name

Attendee 5 Email

example@example.com

Attendee 6 Name

First NameLast Name

Attendee 6 Email

example@example.com

Attendee 7 Name

First NameLast Name

Attendee 7 Email

example@example.com

Attendee 8 Name

First NameLast Name

Attendee 8 Email

example@example.com

Attendee 9 Name

First NameLast Name

Attendee 9 Email

example@example.com

Attendee 10 Name

First NameLast Name

Attendee 10 Email

example@example.com

Attendee 11 Name

First NameLast Name

Attendee 11 Email

example@example.com

Attendee 12 Name

First NameLast Name

Attendee 12 Email

example@example.com

Attendee 13 Name

First NameLast Name

Attendee 13 Email

example@example.com

Attendee 14 Name

First NameLast Name

Attendee 14 Email

example@example.com

Attendee 15 Name

First NameLast Name

Attendee 15 Email

example@example.com

Attendee 16 Name

First NameLast Name

Attendee 16 Email

example@example.com

Attendee 17 Name

First NameLast Name

Attendee 17 Email

example@example.com

Attendee 18 Name

First NameLast Name

Attendee 18 Email

example@example.com

Attendee 19 Name

First NameLast Name

Attendee 19 Email

example@example.com

Attendee 20 Name

First NameLast Name

Attendee 20 Email

example@example.com

Attendee 21 Name

First NameLast Name

Attendee 21 Email

example@example.com

Attendee 22 Name

First NameLast Name

Attendee 22 Email

example@example.com

Attendee 23 Name

First NameLast Name

Attendee 23 Email

example@example.com

Attendee 24 Name

First NameLast Name

Attendee 24 Email

example@example.com

Attendee 25 Name

First NameLast Name

Attendee 25 Email

example@example.com

Address*

Mailing Address

Street Address Line 2

CityState

Zip Code

Primary Phone:*

Area CodePhone Number

Pastor's Wife Name*

First NameLast Name

Pastor's Wife Email:*

Local Church*

If your church is not listed, please choose "other" and provide the church name below.

Other Church Name

Shirts are optional, we will all plan to wear them Satuday! Please click next to the shirt you want and indicate how many of each shirt. Your total due will update as shirts are added. Shirts are Unisex size.

T-Shirt order deadline is February 10, 2025.

Payment Information*

Deeply Rooted Conference Registration$40.00

2025 VACOG Women's Conference

Number Attending
Item subtotal:$0.00

Adult Small Shirt$15.00

Quantity

Adult Medium Shirt $15.00

Quantity

Adult Large Shirt $15.00

Quantity

Adult X-Large Shirt $15.00

Quantity

Adult XX-Large Shirt $15.00

Quantity

Adult XXX-Large Shirt $15.00

Quantity

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Enter the message as it's shown*

Deeply Rooted Women's Conference 2025