2023 Conference Registration

Please fill out and submit the form below and select a payment option to complete your registration.

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Dropdown *

Home Congregation Name, City, State *

Coupon Code

If you have been given a coupon code, please enter it here before proceeding.

Do you require on-site lodging? *

Yes
No

Return to Wittenberg is pleased to provide accommodations to our attendees on-site at the Sparrow's Nest. These rooms are available on a first-come, first served basis. Each room sleeps at least four people. We cannot accommodate private rooms unless you book four registrations. We thank you for your understanding.

Number of Conference Registrations (Non-Student w/ Room)

Number of Conference Registrations (Non-Student)

Number of Conference Registrations (Student w/ Room)

Number of Conference Registrations (Student)

Would you like to receive Holy Communion? *

Yes
No

Note: Pastors have a duty to ensure that those who are admitted to the Altar of the Lord for Holy Communion are in a proper spiritual state to receive the Sacrament. Therefore, if you would like to receive the Sacrament, we ask that you please speak with the Pastor of Faith Lutheran at some point prior to the Closing Service. Thank you for your cooperation.

Number of people communing

Names of Attendees (1 per line)

Total

$ 0.00

Would you like to pay by check? *

No
Yes

If you select "yes," please follow the instructions provided below.

If you are paying with PayPal, submitting this form will direct you to the PayPal website to pay online. If you intend to pay by check, please contact info@returntowittenberg.org after submitting the form. Thank you!

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