2019 AR-OK WELCA Convention Registration

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Email *

Untitled Title

Your Name *

Guest's Name

If you will be bringing a guest, please provide their name.

Address *

Home/Primary Phone *

Cell Phone *

WELCA Cluster *

Church Name, City, and State *

For example: Faith Lutheran, Little Rock, AR

Age (optional)

How many Conventions have you attended? *

This is my first one!

2-5

6-10

More than 10

I will be attending as... *

a participant (non-voting member)

a voting member/Delegate (representing your unit)

SWO Board Member

Presenter/Speaker

Special Guest

Please check all that apply *

I have contact allergies

I have airborne allergies

I have food allergies

I have special dietary needs

I have mobility issues

None of the Above

Required

Please provide more information on your allergies and/or special needs/accommodations.

Do you plan on attending the wine tasting on Friday night? *

A fee of $6 will be collected at the Convention, but we need to have an accurate RSVP count to ensure we buy enough wine.

Yes

Maybe (someone from the Board will followup with you before the Convention)

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