Boundless Adult Registration

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Media Exemption Submitted

Yes

Adult Leader Full Name:(Required)

First Last

Preferred Name:

What are your pronouns?

ex: she/her, he/him, they/them

What's this?
Learn more about personal pronouns here. Please leave this blank if you choose not to specify personal pronouns.. A video with more detailed information is here.

Address(Required)

Street Address Address Line 2 City State ZIP Code

Cell Phone Number:(Required)

Email(Required)

Enter Email Confirm Email

Consent(Required)

I confirm that I am 21+ years old at the time of the Gathering

Please choose your t-shirt size(Required)

All t-shirts are adult sized.

Which best describes you:(Required)

ELCA Rostered Minister (Pastor or Deacon)

Paid Congregational Employee (non-rostered)

Volunteer Leader, from the congregation listed below

Volunteer Leader, not connected with a specific congregation (You will be contacted by a member of the planning team).

Other

Choose your congregation and city(Required)

Please choose the name of your congregation and city from this dropdown menu. Take note that there are several congregations with the same name.

If your congregation is not listed or if you are representing an organization please choose "other" and enter the name in the box that opens below.

My congregation is not listed above or I am representing an organization.

If your congregation is not listed above or if you are representing an organization please list the name here.

Emergency Contact Name:(Required)

First Last

Emergency Contact Relationship to Registrant:(Required)

Emergency Contact Cell Phone Number:(Required)

Do you have any special needs or physical limitations for this event?

If not, please write "none".

Dietary Restrictions

Please check all that apply. If you choose "allergies" or "other" a box will open below so you can list your specific needs.

Vegetarian

Gluten Free

Vegan

Allergies

Other

Additional dietary information

Please list the dates of your COVID-19 Vaccinations:(Required)

For the safety of all participants, all attendees must be fully vaccinated (as defined by CDC guidelines) against Covid 19 at the time of registration.

We believe that using media 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.

2022 GMS Youth Gathering

Please read and check the boxes below(Required)

I understand that all payments will be routed through my congregation and I agree to be in contact with my congregation.

I understand that housing is an additional cost not included in the registration fee.

I understand that someone from the planning team will reach out to me regarding volunteer training dates and more.

Total Fee

Boundless Adult Registration

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