Northern Plains District Conference 2022 Registration Form
There are no registration fees, however we still need you to REGISTER and send payment(s) for meals.

*** Please register if you are planning to come!
*** Delegates you still need to register!
*** If you plan to eat the conference meals, you must fill out the info below!
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Email *
PARTICIPANTS
Please enter information for each person in your household, leaving any extra questions blank.  If you have more than 4 people to register, fill out another form after this one.  Those younger than kindergarten need not register.
Person 1 - Name *
Person 1 - Age Group *
Person 1 - Delegate? *
Person 2 - Name
Person 2 - Age Group
Clear selection
Person 2 - Delegate?
Clear selection
Person 3 - Name
Person 3 - Age Group
Clear selection
Person 3 - Delegate?
Clear selection
Person 4 - Name
Person 4 - Age Group
Clear selection
Person 4 - Delegate?
Clear selection
CONTACT INFORMATION
Please fill out contact information for your household.
Address (including state & zip) *
Phone number *
Congregation *
MEAL & BOOKLET SIGN UP
Meals are $10 for adults and $5 for children (4-11).  Please also indicate if vegetarian meals are needed (ex: 2 meat, 1 veg) Booklets are $7 for non-delegates and free for delegates.  You will need to pay for meals and booklets on our square site (info below).
Friday Supper - # of Adults
Friday Supper - # of Children
Saturday Lunch - # of Adults
Saturday Lunch - # of Children
Saturday Supper - # of Adults
Saturday Supper - # of Children
Number of physical booklets needed (non-delegates)
Optional Offering Gift Amount
PAYMENT:
You will need to visit https://church-of-the-brethren-northern-plains-district.square.site/ to complete payment.
A copy of your responses will be emailed to the address you provided.
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