2024-Conference-Registration-NCRC

NCRC 2024 Conference Registration

CONTACT INFO / PERSON FILLING OUT FORM

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

#1: REGISTRATION NAME

First Name

Last Name

Youth (Saturday)

$10.00

1 Day:

$40.00

2 Days

$50.00

OPTIONAL LUNCH: SELECT

Turkey-Avocado Sandwich

$20.00

California Veggie Sandwich

$20.00

Tuna Salad Sandwich

$20.00

Spring Salad

$20.00

Caesar Salad

$20.00

Baked Ribs

$20.00

Veggie Tofu

$20.00

Curry Shrimp

$20.00

Pork Ribs

$20.00

BBQ Chicken

$20.00

Jerk Chicken

$20.00

Register Another?

Yes

#2 REGISTRATION NAME

First Name

Last Name

Youth (Saturday)

$10.00

1 Day:

$40.00

2 Days

$50.00

OPTIONAL LUNCH: SELECT

Turkey-Avacodo Sandwich

$20.00

California Veggie Sandwich

$20.00

Tuna Salad Sandwich

$20.00

Spring Salad

$20.00

Caesar Salad

$20.00

Baked Ribs

$20.00

Veggie Tofu

$20.00

Curry Shrimp

$20.00

Pork Ribs

$20.00

BBQ Chicken

$20.00

Jerk Chicken

$20.00

Register Another?

Yes

#3 REGISTRATION NAME

First Name

Last Name

Youth (Saturday)

$10.00

1 Day:

$40.00

2 Days

$50.00

OPTIONAL LUNCH: SELECT

Turkey-Avocado Sandwich

$20.00

California Veggie Sandwich

$20.00

Tuna Salad Sandwich

$20.00

Spring Salad

$20.00

Caesar Salad

$20.00

Baked Ribs

$20.00

Veggie Tofu

$20.00

Curry Shrimp

$20.00

Pork Ribs

$20.00

BBQ Chicken

$20.00

Jerk Chicken

$20.00

Register Another?

Yes

#4 REGISTRATION NAME

First Name

Last Name

Youth (Saturday)

$10.00

1 Day:

$40.00

2 Days

50.00

OPTIONAL LUNCH: SELECT

Turkey-Avocado Sandwich

$20.00

California Veggie Sandwich

$20.00

Tuna Salad Sandwich

$20.00

Spring Salad

$20.00

Caesar Salad

$20.00

Baked Ribs

$20.00

Veggie Tofu

$20.00

Curry Shrimp

$20.00

Pork Ribs

$20.00

BBQ Chicken

$20.00

Jerk 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