Chicago Conference Registration Form with Payment

Conference Registration

Please register for the CBE 2026 conference "Made Whole: Healing the Body of Christ" by filling out the form below. If you are registering someone other than yourself, please forward confirmation information to them.
Billing Information
Purchaser Name*

First NameLast Name
E-mail*
example@example.com; The purchaser will be the only one who receives the confirmation email.
Phone Number
example: +1 (555) 555-5555
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Additional Information
Organization and Title
What organization are you representing and what is your title?
Is this your first CBE conference?

YesNo
Are you an undergraduate or graduate student?

YesNo
If yes, which school do you attend?
Do you speak a language other than English, if so, what language(s)?
In case of emergency, please list an emergency contact and their phone number.
Please list any dietary restrictions you may have.
Please list any accessibility needs you may have.
Are you interested in volunteering at the event?

YesNo
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.

My Products*

Individual In-Person Conference Registration

This ticket can be used for individual and group registration. The total amount will reflect group rates. If you have a group larger than 10, you will need to do more than one registration order.

$269.00 Quantity

Saturday and Sunday Individual In-Person Conference Registration

This ticket can be used for individual in-person registration for Saturday and Sunday ONLY. Friday sessions will be available as recordings; Friday dinner is not included.

$209.00 Quantity

Enter coupon

Total

$0.00

Fill in the information below for all attendeees, including the purchaser if attending. Each ticket purchased should be associated with one attendee. You may purchase up to 10 tickets at a time.
Attendee 1*

First NameLast Name
Attendee 1 Email*
example@example.com
Attendee 2

First NameLast Name
Attendee 2 Email
example@example.com
Attendee 3

First NameLast Name
Attendee 3 Email
example@example.com
Attendee 4

First NameLast Name
Attendee 4 Email
example@example.com
Attendee 5

First NameLast Name
Attendee 5 Email
example@example.com
Attendee 6

First NameLast Name
Attendee 6 Email
example@example.com
Attendee 7

First NameLast Name
Attendee 7 Email
example@example.com
Attendee 8

First NameLast Name
Attendee 8 Email
example@example.com
Attendee 9

First NameLast Name
Attendee 9 Email
example@example.com
Attendee 10

First NameLast Name
Attendee 10 Email
example@example.com

Please verify that you are human*

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Conference Registration

Billing Information

Additional Information