Registration

* = required field

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

Last

Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Email Address *

Phone Number *

###

####

Preferred pronoun *

Participant type *

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

Do you prefer vegetarian meals? *

Yes

Optional Demographic Information

Race

Gender

Religious Affiliation

Orientation

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

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