2018 BC Synod Convention DELEGATE Registration

BC Synod Healthy Boundaries

Registration Form
Please indicate which training session you will be attending.*

May 30 - Online / Peace Lutheran, VernonOctober 23 - Lower Mainland (TBD)
I will be attending:*

In personOnline
Name *

First NameLast Name
Home Address*

Street Address

City Province

Postal Code
Preferred Phone Number*

Area CodePhone Number
Email*
example@example.com
Name of Congregation / Ministry*
City/Town of Congregation / Ministry*
Region *
Have you attended a "Boundaries" type seminar in the past? If yes, please indicate below.
PHOTO AND VIDEO RELEASE

By signing below, I give permission to the BC Synod to include my name on a participant list (Synod use only) and/or database, and to use pictures/video of my image for publicity and for event follow up. Please use cursor to sign in the box below.
Signature

Clear
Link to study materials will be provided at the time of registration.
Registration Completion

Click the submit button below to complete your registration, then check your email inbox for a copy of your registration. This confirmation will come to the email account you used to register with.

If you DO NOT receive an email confirmation, please contact the Synod office at 604.524.1318 or by e-mail: bcsynod@elcic.ca, to ensure that your registration was received at the Synod.
Should be Empty:

BC Synod Healthy Boundaries