JOY IN THE JOURNEY: ONLINE REGISTRATION FORM

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Registration Form

Conference Registration Form

Click here for a Printable Form .

Your registration will not be complete until we have received all your information!
We encourage and prefer you to register on-line using the form below.

If you use the electronic form below, please note that fields marked with an asterisk (*) are required. When you click on the "SUBMIT" button at the bottom, your information will be recorded and an emailed confirmation sent to you. You will be redirected to another page. If you have any questions, please contact Terry Palmer.

Email Address *

First Name:* Last Name *

Address*
City, State, Zip * * *

Country: * Gender:* Age::*

Home Phone: Cell Phone:

Stake *

Ward or Branch *

Emergency Contact: * Emergency Contact # *

Would you like your own contact information to be published in a directory of registrants that will be distributed to all conference attendees on the last day?*
Please keep all my information private.
Along with my first and last name, you may publish the items I select below.
            my stake
            my ward/branch
            my email address
            my mailing address
            my home phone
            my cell phone

Please indicate any dietary restrictions you would like us to accommodate :

Please check the conference events you plan to attend:*
Full Conference (FREE)
Friday Evening Dinner and Dance (FREE)
Saturday Day (FREE)
Saturday Evening dinner/dance (FREE)
Sunday Testimony Meeting and Brunch (FREE)

I would like to participate in Friday Night Entertainment at the Seneca Stake Center and audition between 5:30 p.m. and 6:30 p.m. Her is what I plan on performing and what I need.

I will be or would like to stay at:
A Hotel
Member's home
I don't need lodging

May we share your information with others who may be looking for a roommate
Yes
No

Would you be available and willing to help with set-up and/or clean-up for one or more events at the conference?*
Yes, I'll be happy to help. Please contact me with details.
Sorry, maybe next time.

Please type what you see below:

PLEASE REVIEW THE INFORMATION YOU'VE ENTERED CAREFULLY BEFORE SUBMITTING.

PLEASE HIT THE "SUBMIT" BUTTON ONLY ONCE.
PLEASE DO NOT HIT THE BACK ARROW...YOU WILL BE REGISTERED TWICE...AND HAVE TO PAY TWICE.