Online Full-Conference Registration

Please complete the following information to register for awakenings 2016.
Payment is made at the time of registration and includes all meals.

First Name *

Last Name *

Address: *

City: *

State: *

Postal Code: *

Email *

Phone #1*

Phone #2

Food Preferences
Gluten FreeVegetarianOther
If other, please specify

Special Assistance Needs

Emergency Contact Person *

Emergency Phone *

Enter the text you see above

Please submit to complete your full registration (including meals) and submit payment of $395 for awakenings 2016.

You will be redirected to a PayPal payment page. If you do not have a PayPal account, click “NOT NOW” to continue paying with your credit card.

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If you are not automatically redirected, please click here.

If registering as a group of five or more, as a student, or if planning to attend selected days, please print out the mail-in registration here and send in with payment.