2023-Conference-Registration-NCRC

NCRC 2023 Conference Registration

Contact Information-Person Filling Out Form: All Fields Required!

First Name

Last Name

**Enter the Last Name on the Credit Card you will use.

We need this information so we can match up registration with Payments.

Email Address

Contact Info

Enter Numbers Only. No dashes!

Your Diocese

Include your name if you are Registering Yourself

First Name

Last Name

Adults: Select 1 or 2 Days

Youth

$10.00

1 Day:

$30.00

2 Days

$40.00

OPTIONAL LUNCH: SELECT ONE IF PURCHASING

Roast Turkey Sandwich

$20.00

Tuna Salad Sandwich

$15.00

Mediterranean Veggie Sandwich

$15.00

Fuji Apple Salad with Chicken

$20.00

Register Another?

Yes

First Name

Last Name

Adults: Select 1 or 2 Days

Youth

$10.00

1 Day:

$30.00

2 Days

$40.00

OPTIONAL LUNCH: SELECT ONE IF PURCHASING

Roast Turkey Sandwich

$20.00

Tuna Salad Sandwich

$15.00

Mediterranean Veggie Sandwich

$15.00

Fuji Apple Salad with Chicken

$20.00

Register Another?

Yes

First Name

Last Name

Adults: Select 1 or 2 Days

Youth

$10.00

1 Day:

$30.00

2 Days

$40.00

OPTIONAL LUNCH: SELECT ONE IF PURCHASING

Roast Turkey Sandwich

$20.00

Tuna Salad Sandwich

$15.00

Mediterranean Veggie Sandwich

$15.00

Fuji Apple Salad with Chicken

$20.00

Register Another?

Yes

First Name

Last Name

Adults: Select 1 or 2 Days

Youth

$10.00

1 Day:

$30.00

2 Days

$40.00

OPTIONAL LUNCH: SELECT ONE IF PURCHASING

Roast Turkey Sandwich

$20.00

Tuna Salad Sandwich

$15.00

Mediterranean Veggie Sandwich

$15.00

Fuji Apple Salad with Chicken

$20.00

Would you like to make a donation in order to help others attend the Conference? If you can help, please donate below.

Donation