Cultivating Connections

Register for our youth ministry zoom meetings

Please Help Us Stay In Contact With You!

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.
  • If you are registering a group, please Do NOT repeat use of a single email address for each participant. Provide each person's email address, or leave the field blank if you do not know their email.
  • 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.
Who is filling out this form?
First Name
Last Name
Email
Who are the participants?
*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)
*Title and Role

Check any boxes that apply

Pastor
Associate Pastor
Faith Formation Staff
Lay leader
Full time
Part time
Paid
Volunteer
Other
(please specify):
*Please select in which state your church is located:

If your state is not listed please us the "Other" option.

Connecticut
Massachusetts
Rhode Island
New York
Other
Please tell us where you are from
*Connecticut Church Names

Please select from the list of Connecticut churches:

*Massachusetts Church Name

Please select from the list of Massachusetts churches. 

*Rhode Island Church Names

Please select from the list of Rhode Island churches

*New York Churches
*Meeting dates

Select the dates you plan to attend, understanding that schedules change!

Dec 17: NYE Preview
Jan 21: Exploring discipleship
Feb 18: Rethinking Service Trips
Mar 17: Power of Partnerships
Comments
Opt Out: Weekly Email Newsletter

Check this box only if you do NOT wish to receive the weekly Conference email newsletter.  
You can opt out any time via a link in the newsletter. If you already receive it, nothing will change. 

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