Online Registration
 
Reconciling Works 2012 Online Registration
Items in bold and marked with an asterisk (*) must be filled out.

Participant Information

Title
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First Name*
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Middle Name/Initial
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Last Name*
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First name as you want to appear on nametag*
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Address*
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City*
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State/Province*
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Zip/Postal Code*
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Country
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Email
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Phone
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Emergency Contact
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Emergency Contact Phone
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Denomination
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Congregation Name
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Congregation City, State
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Gender Identity
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Racial/Ethnic Identity (optional)
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Public Directory Listing

Directory Listing
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Special Needs/Requests

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Other Special Dietary Needs
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Other Accessibility Needs
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Registration Fees

Assembly Registration Fee*
Invalid Input		 If 4 or more participants are attending from your congregation, please select the "Congregational" registration fee.

Housing

Housing*
Invalid Input		 Special reduced rate, hotel housing is available at nearby hotels. Reservations must be made through Lutherans Concerned/North America with a registration. Do not contact the hotels directly. Payment will be directly to the hotel at check-in. Youth & Young Adult package housing is included at the Luther Place Hostel.
Hotel Preference
Invalid Input		 As of 6/14/2012, a few rooms are still available at the Westin at the conference rate.
Name of Preferred Roommate(s)
Invalid Input		 Please only list roommates you have already made arrangements with. Roommate matching is no longer available.

Pre-Event

Pre-event*
Invalid Input		 Pre-events begin at 1:00pm on July 6th and do NOT include any meals. The Holocaust Museum tour pre-event is filled.

Scholarships

Scholarship Code
Invalid Input		 If you have been pre-approved for a scholarship discount, enter the scholarship code here and then verify the discount amount.
Scholarship Fund Donation
Invalid Input		 For scholarship donations in additional amounts, please contact LC/NA directly.

Total Fees

Total Due 0.00 USD

Statement of Sanctuary

The ministry of Lutherans Concerned, its meetings and its mailing list are protected by our understanding of sanctuary. No participants need fear exposure or abuse in subscribing, joining or attending Lutherans Concerned events.

All information which individual may reveal about themselves is to be honored by others with total confidentiality. Mutual trust and respect, in the Spirit of Jesus Christ, is offered to all who may elsewhere experience alienation, distrust or rejection. For the sake of the Gospel of Jesus Christ, we welcome all people to this Sanctuary.

You must agree to abide by the Statement of Sanctuary in order to register for the Assembly!

Payment
Secure payment via PayPal