2024 FLGA Pastor’s Conference Hilton Daytona Beach
  September 23-25, 2024       Individual registration - all attendees must register
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Email *
Title *
First Name *
As you would like on name tag
Last Name *
Daytime Phone Number *
please use this format:  ###-###-####
Cell Number *
please use this format:  ###-###-####
Can the committee contact you by text at the cell number provided during the conference? *
Congregation Name *
Please list the name of your Ministry site
Ministry City and State *
ex:  Orlando, FL
Are you serving with a school or ELC? *
Please choose one of these options: *
Which Circuit are you located in? *
HOME Mailing Address *
HOME City, state, Zip *
Please separate with commas
What year were you Ordained or Commissioned? *
What year did you Transfer into the FLGA District? *
Please list any Dietary Concerns
we will do our best to accommodate, however we do have catering limitations
Pastors, please share your spouse's  name (Last, First)
Pastors, please share your spouse's  cell phone
please use this format:  ###-###-####
Pastors, please share your spouse's  email
Pastors, please share your spouse's  birthdate
Please use this format: MM/DD/YYYY
Pastors, please share your wedding anniversary date
Please use this format: MM/DD/YYYY
IS YOUR SPOUSE ATTENDING THE CONFERENCE?  
(They must register to insure a proper count of attendees)
*
A copy of your responses will be emailed to the address you provided.
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