Getting Started in MESSY Church Training in WA

Use this form to register as a team or individual for the training on September 10, 2022 from 9:00 am- 3:00 pm.

Date: September 10, 2022

Time: 9:00 am to 3:00 pm

Where: Puyallup United Methodist Church, 1919 W Pioneer Ave, Puyallup, WA 98371

Local Contact: Crystal Goetz [email protected], or 253-797-3845

Cost:

Individual $ 125.00
Group of 2-4 $ 250.00
5th person and over—Additional $ 25.00 per person

Lunch is included in the registration fee.

Total number of attendees you are registering
Please include yourself
Is your church currently involved in Messy Church?*
- Yes
- No
Church Name*
Church Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Church Email (optional)
Your Name*
If you are registering a group, you will be the group contact
First Last
Your Email Address*
Your Phone Number*
Your dietary restrictions:*
- No restrictions
- Gluten free
- Vegetarian
- Other
Please note:
Your Emergency Contact Name*
First Last
Your Emergency Contact Phone*
Please give the name and email address of each of your attendees. Each attendee will receive a separate email asking them to complete their registration by indicating their dietary preferences and their emergency contact information.
Attendee #2 Name*
First Last
Attendee #2 Email*
Attendee #3 Name*
First Last
Attendee #3 Email*
Attendee #4 Name*
First Last
Attendee #4 Email*
Attendee #5 Name*
First Last
Attendee #5 Email*
Attendee #6 Name*
First Last
Attendee #6 Email*
Attendee #7 Name*
First Last
Attendee #7 Email*
Attendee #8 Name*
First Last
Attendee #8 Email*
Attendee #9 Name*
First Last
Attendee #9 Email*
Individual Registration
Price:
Group (2-4 Registrants)
Price:
5+ Attendees
After 4 attendees, each person is an additional $25.00.
Price: $0.00
Tracking Code
If you have been given a tracking code to register as part of a larger organization (like your Conference), enter it below, and click apply.
Total
$0.00
Credit Card
Card Details
Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.