Muslim Evangelism Conference Registration

You are registering for our Muslim Evangelism Conference. Please fill in all the required information below to register for the conference. Upon successful registration, you will be directed to a page with information on submitting payment either by check or via PayPal.

Full name: *

Please enter your first and last name. You should reference this name when submitting your payment.

E-mail address:

Enter a valid e-mail address we can use to send a confirmation and any necessary updates.

Phone number:

If you do not have an e-mail address, you must include a contact phone number or we cannot accept your registration.

Number of attendees: *

Enter the number of attendees you are registering including yourself if applicable.

Lodging arrangements: *

I will make my own lodging arrangements.

I would like to stay with a family from Immanuel if possible.

I live in Louisville and am willing to host attendees at my home.

There are a limited number of families available to host attendees. Placement in a home is not guaranteed. We will do our best to notify you as soon as possible regarding availability so you can make other arrangements if necessary.

Children requiring childcare: *

Please specify the number of children you would like to receive childcare for during the conference sessions. Childcare is not guaranteed, but we will do our best to recruit volunteers and notify you promptly if you must make other arrangements. Childcare will not be available for those who register after Monday, Nov. 3rd so we can recruit an adequate number of volunteers.

Comments:

Please use this text box to let us know of any special needs you may have that we can keep in mind to make this conference accessible, enjoyable, and encouraging for you. We're also open to any suggestions you have to make the registration process easier. Thank you!