2026 Synod Gathering Registration

2026 Synod Gathering Registration
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Congregation, City*
Rostered MinisterLay PersonSynod Authorized MinisterPresenter/ Special GuestSynod Council MemberSynod Office Staff
Do you have any accommodations that need consideration? (IE Mobility issues, accessible lodging, large print bulletins, etc.?)
Attendance and Meals
Thursday ($55)Friday ($55)Saturday ($55)I will attend all three days ($140)
Lunch ($14)Dinner ($25- Provided by the Dwelling!)
Breakfast ($10)Lunch ($14)
Breakfast ($10)Lunch ($14)
VegetarianPeanut AllergyGluten FreeDairy FreeOther
Lodging
I would like a room on campusI do not need lodging, I will commute
she/herhe/himthey/themOther
SHARED: Wednesday nightSHARED: Thursday NightSHARED: Friday NightSINGLE: Wednesday NightSINGLE: Thursday NightSINGLE: Friday Night
Do you have a roommate request?
Check this box if you think you will need your bed lowered
If you are staying on campus, linens, towels, and pillows will not be provided.
Permissions and Waivers
Check-in AssistanceHospitality (snack reset, helping people find workshops)Communion Assistant/ UsherCommunicationsFirst Aid Table (Preferred for people with First Aid Certifications)Block Party (Set up/clean up)Post-Gathering clean up
Yes, you can text meNo, do not text me
I give my permissionNo, I DO NOT give my permission
If you do not want your photo taken, please upload a photo of just yourself. This photo is for in-office use ONLY to help us identify you and make sure we do not publish any photos with you in them. *

Cancelof
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Payment
Listed below is the breakdown of costs that add together to create your total. The registration form calculates your total based on your selections above and fills in the "total" box below.

$55 per day of attendance OR $140 for all three days together

Lodging per night:

Shared room: $40
Single room: $50

Meals:

Breakfast: $10
Lunch: $14
Dinner Thursday: $25
Dinner Friday: on your own
Synod Gathering Total
Pay now onlineSend a check in the mail that will arrive no later than May 15

Synod Gathering Card Payment

USDSynod Gathering Total

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

2026 Synod Gathering Registration

Attendance and Meals

Lodging

Permissions and Waivers

Emergency Contact Information

Payment