Step One: Pre-Registration Form
Please fill out the following information regarding your interest in the One Day Symposium hosted by Austin Disaster Relief Network™. A team member will be in touch with you to work with you soon to assist with your travel plans and provide additional information.

Instructions:
Please submit one form for each member of your team attending the symposium.

Note:
Step Two - Purchase your tickets to ensure you have completed registration and reserved your seats. To go back to the site, visit https://adrn.org/national.

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Email *
Select the One Day Symposium you are interested in attending? *
First Name: *
Last Name: *
Street Address: *
City, State, Zip: *
Phone Number: *
Email Address: *
Organization/Team Name: *
City or Region of your Ministry/Disaster Relief Network
State of your Ministry/Disaster Relief Network
Country of your Disaster Relief Network (if outside U.S.)
Your Home Church: *
Tell us about your network. (Who is currently working with you to build it and what organizations are currently on your network? If you do not have any team members or organizations on your network, what are your plans for moving forward?): *
Briefly describe your experience in disaster: *
Do you have relationships with government officials in your city, county or state? *
If you answered "yes" to the question above, please include names and titles of officials you have relationships with:
Do you have relationships with church leaders in your city/region? *
If you answered "yes" to the question above, how many?
Are you interested in attending a disaster relief network training? *
If you answered "yes" or "maybe" to the question above, briefly explain why and your goals.
If you answered "yes" or "maybe", what particular topics are you most interested in? (Select all that apply.)
A copy of your responses will be emailed to the address you provided.
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