Conference LogoRegistration Form: Reformed Mission in an Age of World Christianity
External/Other - General Registration

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. To register with a credit card, please access our secure online registration form here.

Registrant Information
Title
First Name:
Family Name :
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:
I plan to arrive at the conference on (date):
   
Breakout Choices

Instructions: Please use the drop-down box to indicate which sectional you would like to attend for each sectional set. Each sectional has been assigned a letter. All sectionals are offered twice. For the agenda, please see here. For information about sectional topics and descriptions, see here. If you will not be attending a sectional set, please choose "n/a" from the drop-down box.

Sectional Set 1
Wed, June 16, 8:30 am

Sectional Set 2
Wed, June 16, 10:30 am

Sectional Set 3
Wed, June 16, 1:30 pm

Sectional Set 4
Wed, June 16, 3:30 pm

Sectional Set 5
Thu, June 17, 8:30 am

 
Language Information
My primary language is:
I am also fluent in:
Please select the languages you speak

English
French
Spanish
German
Korean
Other (Please list):

 

Please select the languages you understand

English
French
Spanish
German
Korean
Other (Please list):

Special Needs
Physical Needs:
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.
$150 Registration with all meals
$140 Registration with most meals, no breakfast
 
   
Notes, comments, or questions:
 
Cancellation Policy: Cancelled registrations will be refunded, less a $15 cancellation fee if cancelled before June 1, 2010.
 

Please print and mail this form, along with your registration fee, to:
Seminars@Calvin
1855 Knollcrest Circle SE
Grand Rapids, MI 49546

You can also contact us at: 616.526.8558
seminars@calvin.edu