2021 Virtual Conference Registration
Please take a few moments to fill out the information requested below. Doing so will help us know how many people plan to log in to the Zoom session for the conference. We've asked a few other questions to help us make sure that our district records are accurate, especially regarding your congregational membership and/or your certification status. Thank you for your answers.
Last Name*
First Name*
Calling Body*
Calling Body - City*
Calling Body - State *
Note: If you are serving in a non-parish setting (school, organization, institution, agency) or in a congregation or school where you are not a member, please use the three boxes at the bottom of the form to indicate the congregation where you hold membership.
Position*
 Pastor
 Teacher
 Staff Minister
 Synod Lay Delegate
 Vicar
 Presenter
 Visitor
Status
 Active
 Semi-Retired
 Retired
 Not Certified
 Not Called
Attendance*
 Full Attendance
 Partial Attendance (Partial Excuse)
 Full Excuse (unable to attend)
Use the Comment / Excuse box below to provide the reason for any excuse.
Acknowledgement email will be sent to this address.
Email Address
Comments / Excuses
Note: If the congregation where you hold membership is not your calling body, please fill out the next three blanks to indication the congregation where you hold membership.
Membership Congregation
Membership Congregation - City
Membership Congregation - State


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