WDC Annual Assembly Online Registration Form

Use this form to register and pay for your attendance at the WDC Annual Assembly. Registrations are due JULY 12.

REGISTRANT INFORMATION
Adult Registrant(s) (age 18+) Click the "+" sign to add rows for more names.*
First Name Last Name Mark "X" if you are a delegate. Delegates, list your preferred language during the delegate sessions. Dietary requests (Vegetarian, Gluten-Free, etc)
Children/Youth Registrant(s) through age 17 - Click the "+" sign to add rows for more names.
First Name Last Name Age Dietary requests (Vegetarian, Gluten Free)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Phone
Congregation Name, City, State*
REGISTRATION FEE
Payment is due with registration. Cancellations made by July 12 may request a refund (small fee accessed). Cancellations after July 12 are non-refundable.
Enter the number of ADULT (age 18+) registrants
Price: $95.00 Quantity:
Enter the number of CHILDREN/YOUTH (through age 17) registrants
Price: $0.00 Quantity:
Needs-based discount
If the registration fee is prohibitive, enter the number of adults who need this discount.
Price: -$48.00 Quantity:
MEALS
Registrations received by July 12 include Saturday lunch and dinner. For the Saturday lunch, you may choose between the general lunch or the women's lunch (same menu). Registrations received after July 12 will not include meals. Additionally, a complimentary meal is offered for ministers and their families on Friday evening.

MEALS

Indicate the number of people that will attend each meal.

FRI - Minister's Dinner (Adult)	FRI - Minister's Dinner (Child/Youth)	SAT - General Lunch (Adult)	SAT - General Lunch (Child/Youth)	SAT - Women's Lunch (Adult)	SAT - Women's Lunch (Child/Youth)	SAT - Dinner (Adult)	SAT - Dinner (Child/Youth)

LODGING OPTIONS
Option 1: Register below to request to stay in a local home or offer your home for guests. Option 2: Register below to stay in a Bethel College dorm room.
HOMESTAY
- I want to be hosted.
- I can host guests in my home.
Hosts: describe your accommodations (# of people you can host, # of rooms, bed sizes)
BETHEL COLLEGE DORM ROOM
Rooms have two single beds, with a shared bathroom, and are available the nights of July 26 and 27. Rate is $40/night. Indicate the number of nights you want to stay in a room.
Price: $40.00 Quantity:
OPTIONS
OPTIONAL ACTIVITY WITH $10 FEE - Imperfect Peace Witness Caravan (July 27, 2:30-5:00 pm)
See description of this activity on the website. Enter the number of people who will join this activity. The fee will help support the Mennonite Library and Archives.
Price: $10.00 Quantity:
CONTRIBUTION
You may make a contribution to help others attend the WDC Annual Assembly.
Total
$0.00
PAYMENT OPTIONS
1) Paypal or credit card, OR 2) Send check by July 12 to: WDC, PO Box 306, North Newton, KS 67117
Captcha
Be sure to check this box so that we know you are a real person!

First Name	Last Name	Mark "X" if you are a delegate.	Delegates, list your preferred language during the delegate sessions.	Dietary requests (Vegetarian, Gluten-Free, etc)

First Name	Last Name	Age	Dietary requests (Vegetarian, Gluten Free)

REGISTRANT INFORMATION