Central Association ~ Cluster Meeting - 2020-06-03

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 Phone *Email
*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)
(please specify):
*Please select the church that you are representing:

If your church is not listed please use the "Other" option.

Massachusetts
Other
Massachusetts Churches
*Please tell us where you are from
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.

Opt Out: Weekly Email Newsletter

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

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