Online Registration for the Congregational Resourcing Event

Becoming a Missional Church

Saturday, March 20, 2010

Keynote Presenter, Dr. Craig Nessan

Fill out the form below (please complete all 5 steps), or print a copy of the registration brochure (pdf - requires Adobe Reader) and mail to Nancy Corey, Registrar, Northern Illinois Synod–ELCA, Augustana College - Lutheran House, 639 38th St., Rock Island IL 61201-2296 Phone: 309-794-4004, Fax: 309-794-2088, E-mail: ncorey@nisynod.org

(form works best in Internet Explorer or Firefox)

Step 1 - Personal Information

First Name       Last Name      Title Pr. Mr. Ms. Mrs. Dr.
E-mail address
Congregation
Address
City      State      Zip

>Step 2 - Preliminary Workshop Choices (participants are not "locked in" to these choices)

see workshop list in a new window

Please type in a workshop title in each box below

Session a

Session b

Session c

Bishop Wollersheim will meet with rostered leaders during session c. If you are a rostered leader and cannot stay for session c, please plan to have lunch with Bishop Wollersheim and check this box.

Step 3 - Optional Childcare

Childcare will be available on site in the campus Childcare Center with pre-registration. 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.

Child’s name

Age

Parent’s name

Allergies, medications, or other pertinent information

Step 4 - Fees

Registration with payment on or before March 1 is $17.00 per person and includes lunch

Registration after March 1 is $22.00 per person. Lunch may be provided, if enough are available.

(Please make checks payable to Northern Illinois Synod)

Express check-in will be available for those congregations registered with payment prior to the event.

Send check, made payable to Northern Illinois Synod, to: Nancy Corey-Registrar, Northern Illinois Synod–ELCA, Augustana College - Lutheran House, 639 38th St., Rock Island IL 61201-2296

Step 5 - Submit

For special registration arrangements, please contact Nancy Corey, 309-794-4004

Your online registration is not complete until your check is received in the Rock Island Synod Office

Submit CRE Registration

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