National Higher Calling Conference Staff

National Higher Calling Conference Staff Registration
STAFF INFORMATION
Name

FirstMiddleLast
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Gender
Attendee's mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMERGENCY CONTACT INFORMATION
Emergency Contact's Name
First & Last name
Relationship
Emergency Contact's Email
example@example.com
Emergency Contact's Phone
Please enter a valid phone number.Format: (000) 000-0000.
ADDITIONAL INFORMATION
Do you have any allergies, dietary restriction or medical conditions conference directors should be aware of?
Please specify.
Sender
Description
Arrival Date & Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
PAYMENT
Please note: Even if you are staying with family or other staff members, everyone needs to submit an individual form, so please pay only for yourself for now. Please make sure other family members complete their own forms as well. If a family member is not a full-time staff member, please have them fill out the volunteer form.

*If you have a minor child staying with you during the conference, please register them using the volunteer form as well. All participants must complete registration for room assignments and liability release forms.
Payment Method
Amount by Room type
Transfer Amount Total

NHCC 4 or 3 ppl - Single Staff (2 Queen)

$200.00

NHCC 2 ppl - Married Staff (1 King)

$250.00

NHCC 2 ppl - Senior Staff (+55) (2 Queen)

$200.00

NHCC 1 person - Single Staff (1 King)

$600.00

NHCC 2 ppl - Single Staff (2 Queen)

$400.00

Total

Please write the name of your roommate if you have family members who sleep with you.
If you don't have a preferred roommate, please write N/A.
Should be Empty:

National Higher Calling Conference Staff Registration