Participant's Name E-mail (required)

Congregation City/Town

Session a (10:45 - 11:45 am) Workshop # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55    Participants are not "locked in"  to these workshop choices.

Session b (1:00 - 2:00 pm) Workshop # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55       

Session c (2:15 - 3:15 pm) Workshop # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55           

Childcare requested yes no 
Childcare will be available on site in the campus Childcare Center. Children will be with others in their age group and will be provided lunch and age-appropriate activities coupled with a lively and interactive schedule throughout the day. A free-will offering will be graciously accepted.

If yes, please list child(ren)'s name, age, and any allergies, medications, or other pertinent medical conditions

Fees:
Express check-in will be available for those congregations registered with payment prior to the event.
Registration with payment on or before March 1 is $17.00 per person, includes lunch.
Registration after March 1 is $22.00 per person. Lunch may be provided, if enough are available.
 

Submit payment (checks payable to Northern Illinois Synod) by March 1 to:
Nancy Corey-Registrar
Northern Illinois Synod–ELCA
Augustana College
Rock Island IL 61201-2296

Your registration is not complete until payment has been received.
Click "Submit" to send registration to Nancy Corey

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