2026 General Conference Delegate/Staff/Guest Information Form

2026 General Conference

Delegate/Staff/Guest Information Form
PLEASE PRINT ALL INFORMATION & RETURN TO YOUR BISHOP IMMEDIATELY AFTER YOUR ELECTION.
Title

Mr.Mrs.Ms.Dr.Rev.Rev. Dr.AttorneyJudgePresiding ElderBishop
Name

First NameLast Name
Street Address including any apt
City
State
Zip
Cell Phone
Home Phone
Email Address
example@example.com
Local Church
Annual Conference
Episcopal District

1st2nd3rd4th5th6th7th8th9th10th11th
Housing Request

YES, I will need handicap accessible roomDouble (Request the following delegate or alternate as my roommate)Double (A family member or non-delegate friend will be my roommate)
Double (Request the following delegate or alternate as my roommate)
CONTACT PREFERENCE: I prefer to receive my Book of Resolutions and other official communications by

Regular US MailEmail
- Name
- Relationship
- Telephone Number
- Alternate Phone Number
- Please Note the following medical conditions:
  
  Wheelchair or other mobility assistanceDiabeticFood AllergiesOther AllergiesOther
- Signature
  
  Clear
- Date
  
  MonthDayYear
  Date
- Should be Empty: