Register for the 2024 Convocation.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneStatus in the diocese *Lay memberDeaconPresbyterBishopVisitor onlyWith which congregation are you associated? *Select oneAll Saints Anglican Church (Boaz, AL)All Saints Anglican Church (Green Valley, AZ)Christ Chapel (Benton, KY)St. Barnabas Anglican Church (Heber Springs, AR)St. Barnabas in the Pines Anglican Church (Prescott, AZ)St. Bede's Anglican Church (Tucson, AZ)St. Joseph Anglican Church (Branson, MO)St. Stephen’s Anglican Church (Fort Payne, AL)St. Urith's Chapel (Idabel, OK)Other/noneWill you be representing your church as a lay delegate? *YesNoWill family members be attending with you? *NoSpouseChildrenSpouse Name *FirstLastYour spouse does not need to submit a separate registration.Names and ages of children *Childcare will not be provided.Which days will you be attending? *Both daysWednesday onlyThursday onlyWill you be attending the Wednesday evening banquet at the restaurant? *YesNoHow many people will be in your party for the banquet? *Do you need special accommodations for disabilities? *NoYesSpecial accommodations requested *You will be informed if your request cannot be accommodated.Special dietary restrictions *NoneCeliacVegetarianOtherOther dietary needs: *You will be informed if your request cannot be accommodated.Comments or QuestionsI acknowledge that I am responsible for reserving my own hotel room. *YesSubmit
