Racial Justice Training - OCTOBER

CONTACT INFORMATION

Please follow these instructions:

  • Always use the same email address when registering for Conference events. If you are using a different email address than what you have used previously, please check the "Change in Information" box.
  • Use your full first name in the First Name field. If your prefer to go by a different name, please put that in the "Preferred Name" field. (For example, you might put "Robert" in the first name field and "Bob" in the preferred name field.
*First Name
*Last Name
*Preferred Name
*Address 1
Address 2
*City
*State
*Zip
*Email
*Preferred Phone Number
*Indicate Type of Phone
*Has your contact information changed?


If you are changing the contact information previously provided to the Conference, check YES.

If it is the same, or this is your first registration, check NO.

Yes
No
*What is your preferred pronoun?

Please check only one option:

She/Her/Hers
He/Him/His
They/Them/Their
Something else (please specify below)
DIETARY RESTRICTIONS & ALLERGIES
Please click on all that apply:
None
Vegitarian
Vegan
Gluten Free
I have a specific food allergy
Please list all foods you are allergic to
PAYMENT INFORMATION

The registration fee for this event is $50 for clergy and $25 for lay persons(Detailed information regaurding the difference in fees can be found on the CT UCC's Racial Justice webpage and on this training's event information page.) The registrtation fee for this event can be paid in one of the following ways:

  • pay now - online
  • pay later - online
  • pay at training - check

Whether you decide to pay now or later, once you complete and submit the registration form your training spot will be reserved. You will recieve an email confirmation with your reservation link. You can use that link to pay online at a later date. If you decide to pay with a check on the day of the training, please make sure it's made payable to: Missonary Society of Connecticut or MSC. If you have any issues or questions regaurding the registration fee or payment process please contact Abby Charamut at 860-761-7100 or abbyc@ctucc.org. Thank you!

*Are you attending this training as Clergy or as a Lay Person?

After answering this question a payment box will appear. Please do ONE of the following...

  • If you wish to pay online now, please check the box. Once you click the red 'submit' button at the the bottom of this page you will be redirected to a payment site.
  • If you don't want to pay online or want to pay later, don't check the box. Simply click the red 'submit' button at the bottom of this page and your registration will be complete.
PAY NOW - online ($50)
PAY LATER - online ($50)
PAY AT TRAINING - check ($50)

     Make your check payable to: MISSONARY SOCIETY OF CONNECTICUT or MSC

PAY NOW - online ($25)
PAY LATER - online ($25)
PAY AT TRAINING - check ($25)

     Make your check payable to: MISSONARY SOCIETY OF CONNECTICUT or MSC

PRIVACY

Please note that the Massachusetts, Connecticut and Rhode Island Conferences sometimes take photographs and record video at Conference events for use in Conference publicity materials in print, online and in social media. If you have concerns about appearing in these materials, please contact Tiffany Vail, Associate Conference Minister for Communication, at vailt@macucc.org, and we will do our best to address them.

We will not share your private information with outside organizations.

Your browser is not supported or has JavaScript turned off. To register use a different browser or turn on JavaScript.