WOMEN OF THE ELCA

2025 Southwest California Synodical Women's Organization
Convention Registration Form

All Are Welcome: Celebrating Diverse Voices
📅 Dates: October 10-11, 2025
📍 Location: California Lutheran University, Thousand Oaks
🏨 Host Hotel: Palm Garden Hotel, Newbury Park

Join women from across the Southwest California Synod for a spirit-filled weekend of worship, learning, and renewal. Your presence adds to the rich tapestry of stories, faith, and sisterhood we’ll celebrate together.

Registration Fee: $80 per person (covers all meals & convention activities)

Hotel Rates:• Single Occupancy – $155 per person, per night
• Double Occupancy – $85 per person, per night

Please complete the registration form below and submit.
All payments must be made according to the payment instructions provided. Registrations are not valid until payment is received.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

Your contact information will be used solely for the purpose of this event and will not be shared.

Phone Number

Congregation Name and City (e.g. Holy Trinity, Inglewood)*

Which day(s) will you be attending?*

Friday, October 10Saturday, October 11

Will you require hotel accommodations? (Rate is available Friday night only)*

YesNo

Please select your room preference:

Single Occupancy – $155 pp per nightDouble Occupancy – $85 pp per night

If requesting a Double Room, please list your preferred roommate:

Please check all that apply:*

I am a delegate for my congregation/unitI am a first time attendeeI am a woman of color or whose primary language is other than EnglishI am a youth or young adult under the age of 30I am interested in serving as a delegate for the 2026 WELCA National ConventionI am interested in serving as an officer or board memberI am interested in receiving scholarship informationI require translation servicesOther

Please inform us of any major allergies or dietary restrictions

Total Payment:*

*Enter total amount for registration and/or hotel (if applicable) eg. $80 reg. + $85 hotel = Total $165

Make checks payable to:
WOMEN OF THE ELCA

Submit or mail completed form and payment to:
Julie Jensen, Convention Registrar
921 Gill Avenue
Port Hueneme, CA 93041
📞 (805) 218-8416
📧 jujujnsn21@gmail.com

Note: Registration will not be valid until payment is received.
Cost is transferable but not refundable.

2025 Southwest California Synodical Women's OrganizationConvention Registration Form

2025 Southwest California Synodical Women's Organization
Convention Registration Form