Registration Form

God’s work. Our hands. Calling All God’s People Together

Name First Last
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email
Phone - (###) - ### ####
Indicate which workshops and panel you plan on attending.

(For example, ED-1; CG-1; P-1)
Workshop I:
Workshop II:
Panel:
Do you have any special dietary or other needs we should be aware of?
Your congregation, city, state and role the congregation (for statistical purposes)

(For example: St. Paul / Neenah, WI / council member)
Payment I agree to follow through with a payment of $32 (registration fee + processing fee) to the ECSW through PayPal (signing up is safe & easy) upon clicking the 'Submit' button.