Registrant Information
Name (First):
Name (Last):
Name as you would like it to
appear on nametag
Place of Employment:
Discipline/Area of Study:
Home Address:
Institution Address:
Preferred Address:
Home
Institution
Daytime Phone:
FAX:
Email Address:
Special Needs
Dietary:
Accessibility:
Other:
How did you hear about this conference?
Registrant Contact List
During the conference, we will provide all registrants with a list of names and contact information for all who attend.
I give permission for my name and contact information to be made available to all registrants.
Yes
No
Registration Options
Please check only one option.
$125 Registration with meals (includes Thursday evening reception, breakfast and lunch Friday and Saturday, dinner Friday, 2 breaks per day)
$70 Registration without meals
$105 Student Registration with meals ( includes Thursday evening reception, breakfast and lunch Friday and Saturday, dinner Friday, 2 breaks per day)
$50 Student Registration without meals
Please include a copy of your student ID card.
.
If you are interested in attending only one or two conference sessions, please contact the Seminars office at 616-526-8558.
Notes, comments, or questions:
Cancellation Policy: Cancelled registrations will be refunded, less a $15 cancellation fee if cancelled before March 1, 2009.
If you have any questions, please contact us at:
Seminars in Christian Scholarship
1855 Knollcrest Circle SE
Grand Rapids, MI 49546
616.526.8558
seminars@calvin.edu