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2024 EPC Chaplain's Workshop Registration
The Workshop is Friday, June 21, 2024, from 8am-4pm
Workshop Location: Highland Heights EPC, 2855 Morning Sun Rd, Cordova, TN 38016
Lunch is provided: Pizza, Salad, Breadsticks, and Cookies will be served.
Thanks to the generous donations of chaplains and others to the Care of Chaplains Fund, there is no charge for the Workshop or the Lunch.
Be sure to make departure arrangements from Memphis so as to avoid having to leave the Workshop early (the Workshop goes until 4pm). The Airport is approximately 20 minutes away from the church, not including unexpected traffic.
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Email
*
Your email
First and Last Name
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Your answer
Best Phone #
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Your answer
Spouse Attending?
*
Yes
No
If "Yes" Spouse's Name?
Your answer
Are Children Attending?
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Yes
No
If "Yes" How Many?
Your answer
Type of chaplaincy in which you serve (check all that apply):
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Military - AD
Military - Reserve
Military - Guard
Military - Coast Guard Auxiliary
Branch - Air Force
Branch - Army
Branch - Navy
Civilian - Hospital
Civilian - Hospice
Civilian - Correctional Facilities
Civilian - Sports
Civilian - Education
Civilian - Presbytery
Civilian - Volunteer
Other:
Required
Installation and Location (Military) or Name of Institution (Civilian)
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Your answer
Ordaining Presbytery
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Your answer
Geographic Presbytery (military only)
Your answer
Do you want to receive Continuing Education Credit?
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Yes
No
Do you have any Dietary Restrictions?
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Yes
No
If yes, please state the restrictions.
Your answer
Are you seeking Financial Aid to attend?
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Yes
No
Are you planning to attend General Assembly?
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Yes
No
Do you plan to attend the Chaplains Dinner, Wednesday evening the 19th (not mandatory but highly recommended)? Remember you must sign up for the dinner on the GA Registration Link.
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Yes
No
Please indicate if you are willing to share lodging, and/or car rental costs?
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Lodging - Yes
Lodging - No
Car - Yes
Car - No
Required
Are you willing to give other Chaplains rides if needed and convenient?
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Yes
No
A copy of your responses will be emailed to the address you provided.
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