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?
Are you an undergraduate or graduate student?
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?
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.

Individual In Person Conference Registration

Use this ticket option if registering as an individual or for a group. The total will automatically adjust for the group rate.

$329.00 Quantity

Saturday and Sunday Individual In Person Conference Registration

$269.00 Quantity

Virtual Registration

Virtual Registration with no in person attendance.

$159.00 Quantity

Enter coupon

Total

If using a coupon code, enter the code in the field above and click "Apply." Verify that the total cost has updated appropriately before proceeding.

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

Debit or Credit Card

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

Conference Registration