Shepherd's Centers of America Virtual Conference Registration
Thanks to the generosity of our sponsors, we are coming together in 2020!
First Name
Last Name
What Shepherd's Center or nonprofit are you associated?
What is your role with the Shepherd's Center or nonprofit?
Clear selection
Email address
Daytime telephone #
Payment method
Clear selection
Payment amount (Please complete only if you are the organization making payment.)
To pay online, click here: Note: Don't forget to return to this registration form and hit the "submit" button to complete your conference sign up.
To pay by check: mail payment to Shepherd's Centers of America, 5559 NW Barry Rd., Box 333, Kansas City, MO 64154
Video/Photo Release
I give permission to SCA to use photos and/or video of me taken during the virtual conference for promotion and publicity. These photos and/or video may be used in publications of the organization, posted to the SCA website or other internet websites which benefit SCA, and/or released to the news media for use in articles or news stories about the organization and/or used in promotional advertising for the organization on television or in other media. I understand that these photos and/or video are the property of SCA and may be used by SCA for the purposes of promotion and/or news stories for an indefinite period of time. I will in no way expect or accept payment or royalties for use of these photos and/or video. I understand that I may revoke this permission at any time by giving written notice to SCA.
I give permission to SCA to use photos/videos taken of me during the 2020 conference.
Clear selection
Thank you so much for registering for our virtual event! We will be in touch with details for accessing the conference and selecting session options. Please watch for these important details. If you have any questions, please email us at, or call 816-960-2022.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy