Name*

Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address*

Church & City / Organization*

Emergency Contact

Name*

Phone*

Relationship*

Registration Fees*

In-Person (Adult) ($65.00)
In-person (Youth 6th-12th) ($40.00)
In-person (Youth 5th and under) ($40.00)

I am clergy:

I am a voting delegate

Note: Voting delegates must be in-person to vote.

(Check all that apply) I would be willing to participate as:

Choir member
Elder
Diaconate
Reader - Scripture or Litany
Prayer participant
Acolyte

I plan to attend the Drop-In Style Dinner at FCC Baton Rouge, LA on Friday:*

Yes
Menu: Jambalaya, salad, and dessert
No

I plan to attend the All Assembly Dinner at FCC Baton Rouge, LA on Saturday:*

Yes
Menu: Chicken Alfredo, Italian dish with red sauce and beef, salad, peach cobbler
No

I plan to attend the following luncheon:*

Disciples Women
Disciples Men
Worship Planner
Regional Elders
Please only select if you are serving as a Regional Elder of the Great River Region. This does not include Elders serving at local congregations.
Chaplains
Will not attend

Pre-Assembly Seminar for Clergy

The Magnetic Church: Strategies for the Post-Pandemic Church

Facilitator: Rev. Dr. Bill Tenny-Brittian

I plan to attend the Pre-Assembly Seminar for Clergy*

Workshops

There will be three rounds of workshops. Each workshop will be an hour. The first will be for the whole assembly in the sanctuary from 2:00 pm - 3:00 PM. Rev. Ronny Nowell will present: Not If, But WHEN!

Workshop - Round 1 (2:00 PM - 3:00 PM)

Workshops - Round 2 (3:15 PM - 4:15 PM)

Workshops - Round 3 (4:30 PM - 5:30 PM)

Payment Options

I plan to pay*

At the event
I will send a check to the Regional Office at 4724 Hillcrest Avenue, Little Rock, AR 72205
Please send the check by October 20.
With a credit card
Note: There is a 6% credit card processing fee.
I'm a Regional Board Member of the Great River Region

Credit Card Processing Fee of 6%

$0.00

Running Total

$0.00

Coupon Code

Total

$0.00

Billing Information

Name*

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Mobile Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

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