2019 Synod Assembly Responded to Feasibility Study SurveyResponded to Feasibility Study SurveyMedia Exemption SubmittedNoYesIMPORTANT INFORMATION BEFORE PROCEEDING! Church staff often handle the registrations for their members attending assembly. Please gather each person's INDIVIDUAL INFORMATION (home address, phone number and email address etc.) so that we can confirm this registration with them directly and communicate important information about assembly. There is also a place to include your email if you wish to receive a confirmation of the registration process for your members.We are unable to provide group registration due to the nature of information that must be collected for each voting member, however we can send one invoice to pay for all registrations via Paypal. Please note the directions at the bottom of this form. Contact informationThis registration is for:*someone elsemyselfAdditional confirmation emailEnter an email address to receive a confirmation for this registration. About the attendeeCheck all that apply. We seek this information to fulfill our commitment to be more diverse. (If neither apply, please skip this section.) I am a person of color English is not my first language GenderWhat pronouns do you use to refer to yourself?ex: she/her, he/him, they/them Learn more about personal pronouns here. This information will be printed directly on your name tag. Leave this blank if you don't want personal pronouns printed.My generation is:*We are asking for your generation so that a team from the Cross+Generational Ministry Network can share several Cross+Gen experiences during the assembly. By gathering this information now, we will save organizing time that otherwise would have to happen during the assembly. Please choose your generation based on the year of your birth from the list below. General descriptions and dates may vary by ethnic group, culture and personal experience. To learn more about these general descriptions and dates visit here.1920-1927 The Greatest Generation or GI's1928-1945 The Silent Generation or Traditionalists1946-1964 The Baby Boomer1965-1980. Gen X or Busters1981-1996. Millenials or Y Gen1997-2015 Generation Z or iGen2016-current Alpha GenerationRostered minister titleIf you are a rostered minister please note your title.Rev.Rev. Dr.DeaconName*We print name tags directly from this field. Please provide a proper name with appropriate capitalization. Do not enter titles here. A title field is provided above this field. First name only Last name Attendee's home address*Do not use the church address. We need the home address of the attendee. Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Attendee's phone*Attendee's email*Please provide your correct email address to receive important information from us about your registration. We do not share your email address outside of our office. Enter email Re-enter email (these fields must match) Choose your congregation and city*Please choose the name of your congregation and city from this dropdown menu. Take note that there are several congregations with the same name.My congregation is:OtherAbiding Savior Lutheran Church, MilwaukeeAdoration Lutheran Church, GreenfieldAdvent Lutheran Church, CedarburgAll Peoples Gathering Lutheran Church, MilwaukeeAll Saints Lutheran Church, Oak CreekAll Saints Lutheran Church, WalesAscension Lutheran Church, MilwaukeeAscension Lutheran Church, WaukeshaAtonement Lutheran Church, MuskegoBay Shore Lutheran Church, Whitefish BayBethania Lutheran Church, RacineBethel Lutheran Church, MuskegoBethlehem Evangelical Lutheran Church, MuskegoBreaking The Chains, MilwaukeeCapitol Drive Lutheran Church, MilwaukeeChrist Lutheran Church, JacksonChrist Lutheran Church, MequonChrist Lutheran Church, SalemChrist Our Savior Lutheran Church, SussexChrist The King Lutheran Church, DelafieldChrist The King Lutheran Church, Port WashingtonChrist The Servant Lutheran Church, WaukeshaChrist the Victor Lutheran Church, New BerlinCross Lutheran Church, BurlingtonCross Lutheran Church, IxoniaCross Lutheran Church, MilwaukeeDr Martin Luther Lutheran Church, OconomowocEmaus ELCA, RacineFaith Lutheran Church, CedarburgFaith/Santa Fe Lutheran Church, MilwaukeeFirst Lutheran Church, West AllisFirst United Lutheran Church, SheboyganFox Point Lutheran Church, MilwaukeeGalilee Lutheran Church, PewaukeeGethsemane Lutheran Church, BrookfieldGloria Dei Lutheran Church, Menomonee FallsGood Shepherd Trinity, MilwaukeeGrace Evangelical Lutheran Church, ThiensvilleGrace Lutheran Church, GraftonGrace Lutheran Church, KenoshaHephatha Lutheran Church, MilwaukeeHoly Communion Lutheran Church, RacineHoly Cross Lutheran Church, Menomonee FallsHoly Nativity Lutheran Church, KenoshaHoly Trinity Lutheran Church, West AllisHouse Of Prayer Lutheran Church, FranklinImmanuel Lutheran Church, CedarburgIncarnation Lutheran Church, MilwaukeeJackson Park Lutheran Church, MilwaukeeJourney in Faith, RacineKing Of Glory Lutheran Church, GreenfieldKingo Lutheran Church, MilwaukeeLake Park Lutheran Church, MilwaukeeLiving Christ Lutheran Church, GermantownLiving Faith Lutheran Church, RacineLiving Hope Lutheran Church, SaukvilleLord Of Life Lutheran Church, KenoshaLuther Memorial Lutheran Church, West AllisLutheran Church of the Great Spirit, MilwaukeeLutheran Church Of The Redeemer, RacineLutheran Church Of The Resurrection, PewaukeeLutheran Church Of The Resurrection, RacineMartin Luther Lutheran Church, MilwaukeeMemorial Lutheran Church, MilwaukeeMessiah Lutheran Church, RacineMessiah Lutheran Church, Twin LakesMount Carmel Lutheran Church, MilwaukeeMount Hope Lutheran Church, West AllisMount Olive Evangelical Lutheran Church, MukwonagoMount Pleasant Lutheran Church, RacineMount Zion Lutheran Church, WauwatosaNativity Lutheran Church, WauwatosaNorth Cape Lutheran Church, FranksvilleNorway Evangelical Lutheran Church, Wind LakeOur Savior Lutheran Church, HartlandOur Savior Lutheran Church, MilwaukeeOur Savior Lutheran Church, OconomowocOur Savior Lutheran Church, West BendPeace Lutheran Church, BurlingtonPeace Lutheran Church, MilwaukeePrince of Peace Lutheran Church, MilwaukeeRedeemer Lutheran Church, HartfordRedeemer Lutheran Church, MilwaukeeRedemption Lutheran Church, WauwatosaReformation Lutheran Church, BrookfieldReformation Lutheran Church, MilwaukeeResurrection Lutheran Church, New BerlinSpirit Alive Lutheran Church, KenoshaSpirit Of Peace Lutheran Church, MilwaukeeSt John Lutheran Church, GraftonSt John Lutheran Church, JacksonSt John Lutheran Church, KenoshaSt John Lutheran Church, OconomowocSt John's Evangelical Lutheran Church, West MilwaukeeSt John's Lutheran Church, BrookfieldSt Luke Lutheran Church, GreendaleSt Luke Lutheran Church, Sheboygan FallsSt Luke Lutheran Church, SlingerSt Luke's Lutheran Church, WaukeshaSt Mark Lutheran Church, CudahySt Mark Lutheran Church, WaukeshaSt Mary Lutheran Church, KenoshaSt Matthew Lutheran Church, PalmyraSt Matthew Lutheran Church, WauwatosaSt Olaf Lutheran Church, RubiconSt Paul Evangelical Lutheran Church, Random LakeSt Paul Lutheran Church, KenoshaSt Paul Lutheran Church, MilwaukeeSt Peter Lutheran Church, SheboyganSt Stephen The Martyr Lutheran Church, GreendaleThe TableThe Village Church, MilwaukeeTrinity Lutheran Church, CedarburgTrinity Lutheran Church, KenoshaTrinity Lutheran Church, South MilwaukeeTrinity Lutheran Church, West BendUnited Lutheran Church, RacineUnity Lutheran Church, BrookfieldUnity Lutheran Church, MilwaukeeVernon Lutheran Church, MukwonagoWellington Park Lutheran Church, MilwaukeeWhitnall Park Lutheran Church, Hales CornersZion Lutheran Church, AshippunMy congregation is not listed above or I am representing an organizationIf your congregation is not listed above or if you are representing an organization please list the name here. Registration typeI am a/an*The term “youth” means a voting member of a congregation who has not reached the age of 18 at the time of election or appointment for service. The term “young adult” means a voting member of a congregation between the ages of 18 and 30 at the time of election or appointment for service. Youth - under 18 when elected or appointedYoung Adult - 18-30 when elected or appointedAdult - over 30 when elected or appointedPlease enter your birthdate* Date Format: MM slash DD slash YYYY I am registering as a*This category includes all meals and materials. Please contact the office at 414.671.1212 if you are a part time visitor. Voting Lay Member|$175Non-Voting Participant|$175Minister of Word and Sacrament|$175Minister of Word and Service|$175Retired Minister of Word and Sacrament|$100Retired Minister of Word and Service|$100I am registering as a*This category includes all meals and materials. Please contact the office at 414-671.1212 if you are a part time visitor.Voting Lay Member|$100Non-Voting Participant|$100Minister of Word and Sacrament|$100Minister of Word and Service|$100MealsFriday dinner choice*This meal is included in your registration fee. Additional tickets for Friday evening guests can be purchased here. ChickenFishVegetarianDietary restrictionsPlease check all that apply. If you choose "other" or "allergies" a box will open below so you can list your specific needs. Vegetarian Gluten Free Vegan Other (please list below) Allergies (please list below) Additional dietary informationChildcareChildcare*I will need childcareNo childcare neededChildcare is available for children 6 weeks through five years old. If you have older children we'll do our best to provide childcare for them. Please contact the office for details about childcare for older children at 414.671.1212. Parents, please send along snacks and small shareable/losable toys with your children. IMPORTANT!! Our childcare providers have received background checks and they are compensated for their time. If you find you won't need childcare after registering we would appreciate a phone call.Please list the names and ages of the childrenPlease note the times you need childcare:Parents should be prepared to have their children with them for all meals except for Friday lunch. Snacks will be available for all children in childcare. Friday evening 4pm to 9pm (dinner served in childcare) Saturday morning 8am to 1pm (lunch served in childcare) Saturday afternoon 1pm to 4:00pm New to AssemblyNew to Synod Assembly?*If this is your first time attending Synod Assembly, or if you need a refresher about the work of the assembly, we invite you to join us on Friday afternoon at 4pm for a short introduction session that will cover the agenda items we'll work through during the plenary sessions.Yes, I plan to attend the 4pm Friday afternoon New to Synod Assembly sessionNo, I will not attend the 4pm sessionBook SigningEmmy Kegler Book Signing*Rev. Emmy Kegler, our keynote speaker on Friday evening during our dinner, has just published a new book "One Coin Found: How God's Love Stretches to the Margins". She has graciously offered to sign books for our guests. Each book is $13. Books will be waiting for you when you check in to Synod AssemblyYes, I'd like to purchase a book and have it signed by Rev. Emmy KeglerNo thank youOne Coin Found: How God's Love Stretches to the Margins*Please enter the number of books you wish to purchase in the quantity field. Price: $13.00 Quantity: Assembly BookletWe continue to strive to reduce our paper usage during synod assembly. This year we will not print paper assembly packets and will only print a paper supplement for those registrants who request paper. If possible, we recommend that you use Guidebook, our electronic supplement. Assembly booklet*I need a paper copy of the assembly booklet (agenda etc.)I will download and use GuidebookSimply scan the QR code below with your phone and install the app. Then search under "upcoming" for Synod Assembly 2019 - Greater Milwaukee Synod" and download our guide. If you're not able to scan the code please visit here and then choose USA from the drop down list and enter your phone number. You will receive a text link to the app. Photography PolicyWe believe that using photos of the Greater Milwaukee Synod and its members in our print and web publications fosters a greater sense of community. The Greater Milwaukee Synod will never post images with identifying information such as name, email address, address, or family members’ names. To learn more visit here.Payment2019 Synod Assembly $0.00 Payment choice*I will pay online with my credit or debit card for this registration onlyI will pay online with my credit or debit card for more than one registrationI will send a check to the synod officePayPal Invoicing is NOT available for single registrations. To pay for a single registration by credit card, go back to Payment Choices and choose "I will pay online with my credit or debit card for this registration only."If you wish to pay for more than one registration with your debit or credit card, we will send you a PayPal invoice via email. Please enter the email address for the invoice below and choose submit.We are not able to create invoices for single registrations. Paypal will offer you an option to print a receipt.Send PayPal invoice FOR MULTIPLE REGISTRATIONS to this email address*It may seem redundant to enter your email for each person you're registering; however, doing so will help us tie the registrations together so we can create your invoice. Enter email Re-enter email (these fields must match) TO COMPLETE YOUR REGISTRATIONWhen you hit the submit button below you will be taken to Paypal to finalize your payment. You are not required to create a PayPal account to pay online. Simply choose "pay with credit or debit card" (see image below).You will also receive an email confirmation with your registration information included. If these things don't happen, please contact us at 414-671-1212 so we can see if your registration processed. To complete your registration mail a check payable to the Greater Milwaukee Synod to: Greater Milwaukee Synod EVENT NAME 1212 S. Layton Blvd. Milwaukee, WI 53215 Please write the event name on the memo line of your check and include the names of everyone covered by the payment (see image below). When you hit the submit button below you will see a registration confirmation page and you'll also receive an email with your registration information included. If these things don't happen, please contact us at 414-671-1212 so we can see if your registration processed.