Title

Name

Name on your nametag

Affiliation

Mailing Address

City    State    Zip Code

Phone

E-mail

Registration - Fees include all sessions, lunch, refreshments and parking.
To assist with food and space planning, please register by January 25.

Full registration $65   Senior (55+) $25
Spouse/partner $30   Student or seminarian $25

Do you desire continuing education credit? Yes  No

Payment Method:

I will send a check separately
I will pay by check or credit card on the day of the conference

To pay by check, please send it to the address below.  Make it payable to Grace and Holy Trinity Cathedral – memo “Trinity Regional Conference”.  Please do not send cash.  Credit card payment will be accepted on the day(s) of conference. However, please register in advance.

Scholarship assistance is available - contact Valerie Johnson at 816.474.8260 ext. 103 for information.

You can also print this page or a PDF version of the registration form and mail it to:

Grace and Holy Trinity Cathedral
Attn: Trinity Conference
PO Box 412048
Kansas City, MO 64151