Registration

Payment Information

Student Rate: $20 (or 20 food points for OWU students)
General Rate: $40

The last day to register for the conference is November 4, 2015.
Note: Fields marked with an asterisk (*) are required.

Your Information

Name

First Name

Last Name

Address

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Email Address

Phone Number

###-###-####

Preferred pronoun

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Participant type

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If you are affiliated with a college or campus ministry, what is your school?

Do you prefer vegetarian meals? Yes No

Optional Demographic Information

Race

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Gender

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Religious Affiliation

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Orientation

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Workshop Information

Please pick your top two workshop options: The Bible and Homosexuality, Pastor Marie Duquette Queer Ethics, Dr. Yvonne Zimmerman Trans 101, Jody Davis Church Out of the Closet, Adam Long and Beth Staten Inter-sectionality Panel