Registration Form - Teaching, Learning, and Christian Practices

Please fill out and print the registration form below. Send one registration form per person along with your payment to the address below. Payments should be check or money order made payable to Calvin College.

If you would like to register with a credit card, please use our secure online registration form at http://www.eventbrite.com/event/330219696. Please note that a small processing fee will be added to online registrations.

Registrant Information -- Teaching, Learning, and Christian Practices
   
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.
 
Registration Options
Please check only one option.
 
$125 Registration with meals (includes Thursday and Friday dinner, Friday and Saturday lunch, 2 breaks per day)
$70 Registration without meals
 
$50 Student Registration without meals
Please include a copy of your student ID card.
 
$105 Calvin Registration with meals (includes Thursday and Friday dinner, Friday and Saturday lunch, 2 breaks per day)
$50 Calvin Registration without meals
Please include a copy of your Calvin ID card.
   
Notes, comments, or questions:
 
Cancellation Policy: Cancelled registrations will be refunded, less a $15 cancellation fee if cancelled before October 15, 2009.
 

If you have any questions, please contact us at:
Seminars @ Calvin
1855 Knollcrest Circle SE
Grand Rapids, MI 49546
616.526.8558
seminars@calvin.edu