Register for Imagining the Future Conference

Imagining the Future: Pastoral Leadership

Please complete this registration form by November 1, if possible, if you plan to attend our Pastors' Luncheon and Mini-Conference on Monday November 16. We hope you can come!

1. Name

2. Preferred Mailing Address

3. Preferred Telephone Number

4. Alternate Telephone Number

5. Email Address

6. Church Name

7. Position in Church:

8. Do you need a Translator?

Yes
No

9. Explain if you'd like:

10. Will you be bringing another person/pastor with you?

Yes
No

11. If so, who? From what church?

12. Number who will be staying for lunch:

0, 1, 2

13. Do you have any dietary restrictions?