"KIN CONVENTION" Registration Form

"KIN CONVENTION" Registration Form

YOUR KIN CON INCLUDES:
- Immersive leadership activities
- Intergenerational experience
- Inspiring key note speakers
- Practical hands on workshops
- Curated leadership resources
- Networking lunch
- Mentorship Team discount
  and so much more!
Date:
Sunday October 25, 2026

Time:
10:00 am - 3:00 pm

Cost:
Individual Registration:
Early Bird: $80 (until August 31st)
Regular: $100

Mentorship Team
Early Bird: $115 (until August 31st)
Regular: $135

Location:
Really Living Centre, 2060 Upper James St, Mount Hope, ON L0R 1W0

For further inquiries contact the Ontario Conference Women’s Ministries office
Ph: 905-571-1022 - Ext 222
Email: plopez@adventistontario.org
OR swatson@adventistontario.org
1. Personal Information
Name*

First NameLast Name
Full Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
E-mail*
example@example.com
Church*
Leadership Position*
VegetarianVegan
Medical Conditions or Allergies*
2. Registration Type
You may choose between the following 2 options:

☐ Single Applicant
Early Bird: $80 (until Aug 31 2026)
Full Registration: $100

☐ Mentorship Team
Bring a Young Woman Mentee (Ages 14–25)
(Includes 1 Mentor Ticket + 1 Mentee Ticket)

Early Bird: $115 (until Aug 31 2026)
Full Registration: $135
Single ApplicantMentorship Team
Additional Mentee Information
Name*

First NameLast Name
Email*
example@example.com
14-1617-2021-25
VegetarianVegan
Medical Conditions or Allergies*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship*
Parent/Guardian Information

(Required for Ages 14–17)
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Yes
3. Photography & Media Consent
Yes
4. How Did You Hear About KINCON?
Social MediaChurch AnnouncementFriendPrevious EventOther
5. Total Price & Payment
Registration Total

Payment Amount*

CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

AMEXVisaMasterCard
Should be Empty:

"KIN CONVENTION" Registration Form

1. Personal Information

2. Registration Type

Additional Mentee Information

Parent/Guardian Information

3. Photography & Media Consent

4. How Did You Hear About KINCON?

5. Total Price & Payment