MedCon 2017: Time for Change
October 14, 2017 at the Parkview Mirro Event and Conference Center, registration starting at 8 a.m.
Full Name *
Your answer
Do you attend a parish?
Your answer
I will be attending the: *
(Registration starts at 8:00 a.m. at the Parkview Mirro Event and Conference Center)
Total number in your group
Your answer
email address (if you don't have email, put your phone number here) *
Your answer
phone number
Your answer
Include degree, if you have one
Your answer
Any additional comments, such as dietary requests?
(This conference will provide coffee, water, tea, and lemonade all day, plus a boxed lunch)
Your answer
Do you have a financial hardship, but want to attend this conference? Please explain, and we will try to find a way to get you there!
Your answer
I am planning to come to this conference. I am not a student or in religious life. My cost will be $40 paid by:
(We are in great need of donations also)
I am a student, and will be paying $20 for the day by:
I am in religious life, and would love to come to this conference... for free!
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