Speak Out Registration 25

Name

First NameLast Name

E-mail

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Your Church and/or Ministries you're affiliated with:

Do you have a oncegay or oncetrans story?

Do you already have experience sharing your story publicly?

Tell us why you are interested in attending this event?

Code of Conduct

By registering for and attending this event, I agree to engage respectfully with all participants, speakers, and organizers. I commit to maintaining a spirit of civil discussion, even when addressing sensitive or challenging topics. I understand that disruptive behavior, including but not limited to yelling, personal attacks, hate speech, or creating a hostile environment, will not be tolerated. I acknowledge that failure to uphold these standards may result in being asked to leave and removed from the venue.

Please select all that you plan to attend:

What is your t-shirt size?

We are gathering sizes for an order. Pre-order shirts will be available soon

Event Pricing

Symposium Registration

The CHANGED Symposium is an all day event on Wednesday, June 11th featuring expert speakers. The full details are at changedmovement.com/speakout. If finances are an issue, please email contact@changedmovement.com.

$49.00 Quantity
Item subtotal:

Speak Out T-Shirt

$16.99 QuantitySize

Enter coupon

Total

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

Event Pricing*

Event Pricing