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National Lutheran Secretariat Annual Gathering
Host Committee Registration Form
One form per attendee
Thursday, July 30 through Sunday, August 2, 2020
Hamline University
1536 Hewitt Avenue, Saint Paul, MN 55104
Map to Hamline University
First Name
*
Last Name
*
Home Secretariat
*
AL - Region 6
AK - NA
AR - Arkansas / Oklahoma - Region 3
AZ - South Arizona VdC - Region 1
CA - Southern California and Central Valley - Region 1
CO - Colorado VdC - Region 1
CT - Region 5
DC - Living Stones VdC - Region 5
DC - Lake Gaston VdC - Region 5
DE - Journey In Faith VdC - Region 5
FL - Gold Coast (South) - Region 7
FL - Indian River (Space Coast) - Region 7
FL - Lighthouse (Upper East Coast of Central Florida) - Region 7
FL - Sonbeam (Tampa Bay area) - Region 7
FL - Sonshine North (Northern East Coast) - Region 7
FL - Sonshine South (Miami South) - Region 7
GA - Atlanta - Region 6
HI - NA
IA - Iowa Lutheran Secretariat - Region 2
IA - Living Water (Western Illinois / Eastern Iowa) - Region 2
ID - Region 1
IL - Living Water (Western Illinois / Eastern Iowa) - Region 4
IL - Heart of Illinois (Central Illinois) - Region 4
IL - Prairie Sonshine (Central Illinois) - Region 4
IN - Indiana / Kentucky (INKY) - Region 4
KS - Region 3
KY - Indiana / Kentucky (INKY) - Region 4
LA - Region 3
MA - Region 5
MD - Vineyard - Region 5
ME - Region 5
MI - Good News! (Southern Michigan / Northwest Ohio) - Region 5
MI - Central Michigan - Region 5
MI - Northern Light - Wisconsin and upper Michigan - Region 5
MN - Lutheran VdC of Minnesota - Region 2
MN - Ignite VdC - Region 2
MO - Rivers Edge (Metro St Louis and South Illinois) - Region 3
MS - Region 6
MT - Region 1
NC - Eastern - Region 6
NC - Western - Region 6
NC - Lake Gaston (North) - Region 6
ND - Region 2
NE - Nebraska Lutheran VdC - Region 2
NH - Region 5
NJ - Region 5
NM - Region 1
NV - Light in the Desert - Region 1
NY - Damascus Road (Upstate New York) - Region 5
OH - VdC of Ohio - Region 5
OH - Good News! VdC - Region 5
OK - Arkansas / Oklahoma - Region 3
OR - VdC of Oregon - Region 5
PA - Journey In Faith VdC - Region 5
RI - Region 5
SC - South Carolina VdC - Region 6
SD - Lutheran Secretariat of South Dakota - Region 2
TN - Tennessee Lutheran VdC - Region 6
TN - Notes of Grace of VdC of Middle TN - Region 6
TX - Lutheran VdC of North Texas - Region 3
TX - Texas Lutheran VdC - Region 3
UT - Utah VdC - Region 1
VA - Living Stones VdC - Region 5
VA - Lake Gaston VdC - South side Virginia - Region 5
VT - Region 5
WA - VdC of Western Washington - Region 1
WI - Sonrise VdC - Region 2
WI - Northern Light - Wisconsin and upper Michigan - Region 2
WV - Region 5
WY - Region 1
Cell Phone Number
*
Email Address
*
Address 1
*
Address 2
City
*
State
*
Zip
*
National Lutheran Secretariat:
*
🛈
NLS Board Member
Lay Delegate
4th Day Member
NA
Clergy
*
🛈
Delegate
Guest
NA
Host:
*
🛈
Committee
Shadow Committee
NA
First time attending an NLS Annual Gathering?
*
Yes
No
Last year attended:
Position at last attendance:
Registration is Thursday 11 AM through Sunday 11 AM - Includes meals, housing and meetings.
All dorm rooms are double occupancy. If you would like to request a roommate, please enter their name in the Other field.
Over nigjt Apt:
Apt Wed, Thurs, Fri and Sat ($180)
Apt Wed, Thurs and Fri ($135)
Apt Wed and Thurs ($90)
Apt Wed and Fri ($90)
Apt Wed and Sat ($90)
Apt Wednesday only ($45)
Apt Thurs, Fri and Sat ($135)
Apt Thursday only ($45)
Apt Thurs and Fri ($90)
Apt Thurs and Sat ($90)
Apt Friday only ($45)
Apt Fri and Sat ($90)
Apt Saturday only ($45)
NA
Over nigjt Dorm:
Dorm Wed, Thurs, Fri and Sat ($120)
Dorm Wed, Thurs and Fri ($90)
Dorm Wed and Thurs ($60)
Dorm Wed and Fri ($60)
Dorm Wed and Sat ($60)
Dorm Wednesday only ($30)
Dorm Thurs, Fri and Sat ($90)
Dorm Thurs and Fri ($60)
Dorm Thurs and Sat ($60)
Dorm Thursday only ($30)
Dorm Fri and Sat ($60)
Dorm Friday only ($30)
Dorm Saturday only ($30)
NA
Breakfast:
Breakfast Thurs, Fri, Sat and Sun ($28)
Breakfast Thurs, Fri and Sat ($21)
Breakfast Thursday only ($7)
Breakfast Thurs and Fri ($14)
Breakfast Thurs and Sat ($14)
Breakfast Friday only ($7)
Breakfast Fri, Sat and Sun ($21)
Breakfast Fri and Sat ($14)
Breakfast Saturday only (7)
Breakfast Sat and Sun ($14)
NA
Lunch:
Lunch Thurs, Fri and Sat ($24)
Lunch Thursday only ($8)
Lunch Thurs and Fri ($16)
Lunch Thurs and Sat ($16)
Lunch Friday only ($8)
Lunch Fri and Sat ($16)
Lunch Saturday only (8)
NA
Dinner:
Dinner Thurs, Fri and Sat ($30)
Dinner Thursday only ($10)
Dinner Thurs and Fri ($20)
Dinner Thurs and Sat ($20)
Dinner Friday only ($10)
Dinner Fri and Sat ($20)
Dinner Saturday only (10)
NA
Name of requested roommate:
Donation for Gathering Expenses:
Annual Gathering Volunteer T-shirt ($10)
Women's Small
Men's Small
Women's Medium
Men's Medium
Women's Large
Men's Large
Women's 1 X
Men's 1 X
Women's 2 X
Men's 2 X
Women's 3 X
Men's 3 X
Current Total:
0.00
Calculate
Handicap or Special Needs:
*
None
Dietary
Physical
Medical
Travel:
*
Auto
Air - Please also complete Air Travel Form
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Questions?
Lori Ritt at 651-432-2286
email - Lori.Ritt@hotmail.com
*In the subject line type 'Registration' for prompt sorting
1114 Humboldt Ave
W St Paul, MN 55118