Registration for Peacemaker Congress XI

First Name: *

Last name: *

Email address: *

Street Address: *

City: *

State or Province:

ZIP or Postal Code:

Country: *

Telephone: *

Food preferences or allergies:

Are you vegetarian, vegan or do you have any food allergies we should know about? Are you allergic to any pets?

Lodging

The deadline for home stays in the Reba neighborhood was September 28th. Unfortunately, this option is no longer available.

There are a number of hotels in Evanston where you can make reservations: Hotels near Reba Place Church on Google Map

Your lodging choice: *

I will arrange my own housing

Other needs:

I will need childcare (please include the children in the registration costs)

I am willing to help with childcare

I will need facilities to accommodate a physical disability (please describe in the comments section below)

Please note that the Reba Place Church facilities are wheel chair accessible.

Paid pick up from train station or airport:

I will find my own way to Reba Place church

The deadline has passed for ordering paid pickup through the Congress planning team. Reba Place church is easily accessible via the Chicago public transit system or by car. You can use the trip planners on this page to plan your route by public transport: http://www.transitchicago.com/travel_information/trip_planner.aspx

Role at Congress:

A Congress co-sponsor

Leading a workshop at the Congress

Speaking or peforming at the Congress

A stipended CPTer

I will be attending the CPT Steering Committee meeting before the Congress

I am willing to volunteer my time at the Congress

You may register your interest in volunteering by checking this box. All other roles need to be arranged with congress planners directly. Depending on your role at the Congress, your registration fee may be waived or discounted. Email peacemakers@cpt.org for more information.

Registration Costs

We have done our best to keep costs as low as possible. Note that the meals included are supper on Thursday and lunch and supper on Friday and Saturday. If you are signed up for a home stay, breakfast will likely also be offered by your hosts.

# of Adults: @ $125 each (includes 5 meals & Sat. concert)

# of Low Income / Students / Children: @ $50 each (includes 5 meals & Sat. concert )

please note that children must be included in this field to receive free childcare

# of One Day registrations: @ $45 per day (2 meals included)

Please note which day(s) you will be attending in the comments field below.

# of Low income / Student One Day registrations: @ $25 per day (2 meals included)

Please add up your total cost so you can pay it on the next page. There you will find a donate button to pay your registration costs for the conference by credit card.

Also, please bring your favorite snack to share with the group during the week.

Comments:

If you noted a physical disability under "other needs" please describe your needs here. If you are interested in volunteering during the congress, please note that here.

How did you hear about the Congress?:

This question is optional.

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