2025 ELCIC National Convention Registration Form

2025 ELCIC National Convention Registration Form
Registration
Registration Type:*

DelegateNational Church CouncilStaffGuestVolunteerVisitorExhibitor
Delegate Type*

RosteredLay
Committee Type

Local Convention Worship PlanningLocal Arrangements Committee
Personal Info
Title
Rev., Mr., Mrs., Ms., etc.
Name*

First NameLast Name
Email
example@example.com
Listing of Staff Attending
Address

Street Address

Street Address Line 2

CityProvince / State / Region

Postal / Zip Code
Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Birth Year (Optional)
I identify my gender as: (optional)

MaleFemaleOther
Other Gender (optional)
What type of technology will you be utilizing during convention?

Smart PhoneTabletLap TopNoneOther
Synod

British Columbia SynodSynod of Alberta and the TerritoriesSaskatchewan SynodManitoba/Northwestern Ontario SynodEastern SynodOther
I register representing:*

ELCIC Congregation/ParishNon-ELCIC Congregation/ParishOther Organization
Please indicate name of Congregation/Organization and location*
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Number

Area CodePhone Number
Orientation Session: Thursday, July 10th
I will attend the session

YesNo
Worship Service Volunteers

Please indicate if you are willing to assist with Convention Worship in one or more of the following areas. Check box if response is "Yes"
Convention Choir (Optional)

SopranoAltoTenorBass
Other Service Volunteer Positions (Optional)

ReaderUsherCommunion AssistantProcession Assistant (Cross/Candle/Bible)
Travel Arrangements - Arrival

Please specify travel for the National Convention. Do not include vacation prior to or following the Convention.
Arrival Date*

MonthDayYear
DateHourMinutesAM/PM Option
Arrival By*

PlaneCarTrain
Arrival Carrier - Airlines*

Air CanadaWestJetNewLeafAmerican AirlinesDelta Air LinesUnited AirlinesOther
Please indicate the name of Other Arrival Airline
Arrival Flight *
Coming From
I will be traveling with (name) (Optional)
Transport from airport required?*

YesNo
Travel Arrangements - Departure
Departure Date*

MonthDayYear
DateHourMinutesAM/PM Option
Departure By*

PlaneCarTrain
Departure Carrier - Airlines*

Air CanadaWestJetNewLeafAmerican AirlinesDelta Air LinesUnited AirlinesOther
Please indicate the name of Other Departure Airline
Departure Flight*
Going To
Transport to airport required?*

YesNo
Accommodations
I will be staying at*

UniversityMaking own arrangements (Family/Friends/Other Hotel at own cost)
Accommodations Arrival Date *

MonthDayYear
Date
Accommodations Departure Date *

MonthDayYear
Date
Name of person sharing room (Optional)
Special Needs
Do you have special dietary requirements?*

YesNo
Please indicate your dietary requirements.
Do you require assistance for mobility?*

YesNo
Please indicate your mobility concerns.
Delegates 30 years of Age and under

For more information, see contact details on the information package on Delegates under 30 section
I am 30 years of Age and under

YesNoChoose not to disclose
Will you arrive early on 9th July to participate in the visit to the Human Rights Museum?

YesNo
ELCIC National Convention Registration Fees

This section is only required if you are registering as a visitor or wish to purchase any of the items listed below. Visitor packages include the coffee break refreshments but no meals. A digital copy of the Bulletin of Reports is available on the website for free (will be posted in late May).
Table(s) Required ($375/Table)*
Will your exhibit display require electrical power?*

YesNo
Will you be requiring a printed Bulletin of Reports?

YesNo
Number of Bulletin of Reports wanting to order
$80/order
What type of meal package(s) would you like?

6 meal ($125)9 meal ($180)None
Number of 6 meal packages required
Number of 9 meal packages required

Total Registration fees for 2025 ELCIC National Convention
Total Registration fees for 2025 ELCIC National Convention (should be hidden)
Payment Option

Credit CardCheque payable to ELCIC

Note that once you submit the registration, the payment will be applied or a message will indicate that there was an error and you should go back to correct.
Other Comments or Information
Privacy Permission

I understand that the information on this form is collected for the use of the National Office and will be retained indefinitely, and that personal information is not shared with third parties without consent. I understand that my name and photograph, including audio and visual images may be used as a result of my attendance at this convention.
I acknowledge*

Yes
Should be Empty:

	Number required
Full ($75)
Thursday ($30)
Friday ($30)
Saturday ($30)

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

2025 ELCIC National Convention Registration Form

Registration

Personal Info

Emergency Contact

Orientation Session: Thursday, July 10th

Worship Service Volunteers

Travel Arrangements - Arrival

Travel Arrangements - Departure

Accommodations

Special Needs

Delegates 30 years of Age and under

ELCIC National Convention Registration Fees

Privacy Permission