The Progressive Christian Alliance
Eastern Conference Gathering March 2012 Registration Form
Theme – “Being God’s Body in a Broken World”
REGISTRATION Information
Last Name
First
M.I.
Street Address
Apartment/Unit #
City
State
ZIP
Phone
Congregation/Ministry Name
No. Attending
E-mail Address
I prefer to
(check all that apply)
Simply attend ____ Lead/assist with worship through music _____ Give a sermon at conference ____ Share a testimonial ______ Lead a workshop ____ Lead/Assist with communion ____
Share concerning a ministry that individuals can start in their local church _____
Share regarding social justice/missions opportunity ____ Assist with technological support ____
Please explain or describe:
I would be
interested in workshops on
(pick your 5 favorite; rate from 1-5, with 5 being your MOST desired workshop and 1 being LEAST desired)
Beginning local ministries ____ Beginning new churches ____ Pastoral counseling how-tos ___
Anti-bullying programs ____ Effective outreach in the community ___ Organizing social justice ministry ___
Recovery ministries ____ Making preaching relevant ____ Organizing meaningful worship ____
Children’s Ministry _____ Prayer/prophetic ministries ____ Ministry within the GLBT community ___
Ministries with/for women ___ Rediscovering Male Spirituality __ Effective Leadership Development ___
Ministry with disabled community ___ Perspectives on inter-faith ministry ____ Peace-making ministries ___
Please describe other topics/activities you would like considered:
Please send registration to
Being God’s Body in a Broken World 2012
c/o Rev. Micah Royal
Diversity in Faith: A Christian Church for All People
116 Lofton Dr., Apt. J
Fayetteville, NC 28311
or email completed registration to diversityinfaith@yahoo.com
Lodging
COMFORT INN, FUQUAY-VARINA
7616 Purfoy Rd. (27526)
919-557-9000
HOLIDAY INN EXPRESS, FUQUAY-VARINA
511 N. Judd Parkway NE (27526)
919-557-2009
HAMPTON INN, DUNN
100 Jesse Tart Circle (28334)
910-892-4333
HOLIDAY INN EXPRESS, DUNN
900 East Pearsall Street (28334)
910-892-4400
