A-2025 District Conference Registration

Western Plains Church of the Brethren
District Conference McPherson, Kansas
July 26-27, 2025

Registration Form
Adult Registration
Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Select Congregation*
Yes - $50No - $40
I am registering as one of the following
SopranoAltoTenorBass
Registration Cost 1st Adult
YesNo

Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Select Congregation*
Yes - $50No - $40
I am registering as one of the following
SopranoAltoTenorBass
Registration Cost 2nd Adult

Yes - $50No

Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Select Congregation Youth Delegate Represents*
SopranoAltoTenorBass
Registration Cost Youth Delegate

YesNo
REMINDER - If you are a delegate (adult or youth) and have not completed & submitted the Delegate Authorization Form, click to complete form
CHILDREN/YOUTH (under age 18) registration
MEDICAL RECORD - This form is available to print or save by clicking the three dots (...) at the top right of the pdf viewer. Complete one form for each child/youth and return as described at the bottom of the form.
Children's Activities & Childcare Registration Form - This form is available to print or save by clicking the three dots (...) at the top right of the pdf viewer. Complete one form for each child/youth and return as described at the bottom of the form.
Junior & Senior High Youth Activities Liability Waiver and Field Trip Permission Form - This form is available to print or save by clicking the three dots (...) at the top right of the pdf viewer. Complete one form for each youth and return as described at the bottom of the form.
I travel MORE than 300 miles to attend district conferenceI travel LESS than 300 miles to attend district conference
Final registration total

Number of Meals

Rows	Friday Lunch 11:45	Friday Supper 5:15	Saturday Lunch 11:45	Saturday Supper 5:30	Sunday Lunch 11:45
Adults $10 each
Children/Youth (under age 18) FREE

Cost of Meals

Rows	Friday Dinner 5:15 p.m.
Minister/Guest Dinner 5:15 p.m. Mingenback Provided by McPherson College

Rows	Saturday Breakfast 8:00 a.m.
Women's Breakfast - By DONATION received at the door 8:00 a.m. Mingenback
Men's Breakfast - By DONATION received at the door 8:00 a.m. McPherson Church Basement

I/We have food allergies and/or special dietary needs. Please list specific needs below. Separate plates are prepared for those who inform us of special dietary needs. It is your responsibility to indicate to cafeteria or serving staff of your name/dietary need at each meal so they can serve you.

First Name   Last Name   Allergies   Special dietary needs
First Name   Last Name   Allergies   Special dietary needs
First Name   Last Name   Allergies    Special dietary needs
Consider a donation to "pay forward" subsidies for next year
Conference total
Lodging
A block of rooms has been reserved at the Best Western (200 N. Champlin in McPherson) for the District Conference July 25 & 26. The rooms are King, with two of them being King suites which have a pull-out bed. The Best Western serves breakfast and has an outdoor pool.

Reserve within the block "Church of the Brethren District Conference Reservation #1117" to get the rate of $95 per night. Reservations must be made by July 10 to be included in the block.

Call 620-480-2667 or email frontdesk17142@gmail.com. Their website is https://www.bestwesternplusmcpherson.com
IF you stay in a motel to participate in Conference on Sunday, the District will reimburse half your motel costs for Saturday night. Reimbursement request forms will be available at conference

There is limited lodging available with local Brethren. You may contact Wylene Lengel wylene.lengel@gmail.com (760-580-2274).

Please note: photos may be taken during conference and posted on the Western Plains District website
Thank you for registering for 2025 Western Plains District Conference

Once you click Submit on this form, you will be taken to an online payment application where you may use a credit card to pay for registration and meals. If you prefer to pay by check or in person, simply (X) out of that payment page.

If paying by check, make payable to Western Plains District in the amount of {conferenceTotal}.

Mail to Wylene Lengel, 1360 N. Walnut St., McPherson, KS 67460.

Additionally, you will receive an automated e-mail that summarizes the various choices you made on this form. If you have any questions about registration, please contact Wylene Lengel, Conference Registrar. For other questions about conference, contact Diane Mason, Conference Manager. Contact information for each will be in the reply e-mail you receive.

Informational pages about conference program, payment options, or additional forms may be reached at wpcob.org.

We are excited about our conference program this year and look forward to seeing you in July.
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