Registration

Registration Options*

Contact Information

Name*

Preferred First Name*

Email*

Confirm Email*

I have an international number.

Phone Number*

Phone Number (International)

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Mailing Address

Address*

Staff Cost Center Number*

Emergency Contact Information

Emergency Contact Name*

Emergency Contact Relationship*

Emergency Contact Phone*

Demographics

Date of Birth*

Gender*

Male
Female

What is your Ethnicity? (Check All that Apply)*

Black/African American
East Asian American
Hispanic/Latino American
International
Middle Eastern American
Native American/Alaska Native/First Nations
Native Hawaiian/Polynesian/Melanesian/Micronesian
South Asian American
Southeast Asian American (Including Filipino)
White/Caucasian American
Prefer Not To Identify

Dietary Restrictions

Gluten
Lactose/Dairy
Nut
Seafood
Vegan
Vegetarian
Other

Individual Release/Waiver

Individual Release/Waiver | Version 10.28.2024*

I have read and agree to the terms above.

Should the PDF not display properly, you may download a copy of the Individual Release Waiver 10.28.2024

Housing Options*

Small Group Leaders

SC27 will feature small groups for Scripture engagement held each morning after breakfast! If you are willing to facilitate a group let us know below. Training and support will be provided.

Would you be willing to facilitate 3 small group sessions during SC27?*

Yes please!
No, thank you.
Willing, but not preferred

Pre/Post Meetings

Please check any pre/post meetings you are planning to attend (Skip if none apply).

Athletes InterVarsity Staff Gathering
BCM Staff Gathering
Catalyze Team Retreat (Invitation Only)
GFM Pre and Post Meetings (Required for GFM Staff)
ISM Day-Ahead
Native Ministry
NCF All Staff Meet Up

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