Capital Area Regional Assembly

October 12 -13, 2018

 Largo Community Church
1701 Enterprise Road
Mitchellville, MD

Online Registration Form
For Regional Assembly and Clergy Training

REGISTRATION DEADLINE – October 1, 2018
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There are two steps to online registration:

1. Complete the online registration form below and click the Submit button.
2. Click the Credit Card Payment link to make your payment.
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Please write all names as they should appear on name badges.
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Primary Registrant Name *
Primary Registrant Name
Registration Type *
Pick all that apply.
Second Registrant Name
Second Registrant Name
Second Registration Type
Pick all that apply
Third Registrant Name
Third Registrant Name
Third Registrant Type
Pick all that apply
Fourth Registrant Name
Fourth Registrant Name
Fourth Registrant Type
Pick all that apply
Fifth Registrant Name
Fifth Registrant Name
Fifth Registrant Type
Pick all that apply
Sixth Registrant Name
Sixth Registrant Name
Sixth Registrant Type
Check all that apply
Please indicate any special requirements such as large print material, wheelchair access, or dietary requests.

 

Clergy Pro-Reconciliation/Anti-Racism Training  $75
For Clergy Only! Friday 12:00 PM - 4:00 PM

Adult Full Registration $100
All Friday Night and Saturday Events including Breakfast and Lunch
 Adult Friday Registration $35
Friday Night Assembly Dinner
 Adult Saturday Registration $80
Saturday Events including Breakfast and Lunch
Youth Full Registration Age 13 – 21  $50
Overnight lock-in for ages 13 - 18/Grades 7 through 12
Youth Full Registration Age 6 – 12  $30
Children 5 and younger $0
 
All children and youth must register. Childcare is available for children 12 and under on
Friday from 4:00 PM – 8:00 PM and Saturday 7:00 AM – 4:00 PM