Sponsor Registration - 2024 Congress for Spiritual and Public Leadership | Coalition for Spiritual & Public Leadership Powerbase

Please complete the form below to register for the 2024 Congress.

Your Registration Info/Su información de registro

First Name/Primer Nombre *

Last Name/Apellido *

Email Address/Correo electrónico *

Phone/Teléfono *

Street Address/Dirección *

City/Ciudad *

State/Estados *

Postal Code/Codigo Postal *

Individual Member/Miembro Individual

Yes No

Institutional Member/Miembro Institucional

Yes No

Member Parish or Organization/Miembro Parochia o Organizacion

Please list all restrictions/Por favor enumere todas las restricciones

Dietary Restrictions/Restricciones de la dieta

ADA Accommodations Needed/Adaptaciones necesarias según la ADA

We will strive to secure lodging that meets your needs and make accomodations throughout the Congress./Nos esforzaremos por asegurarle un alojamiento que satisfaga sus necesidades y realizar el alojamiento durante todo el Congreso.

Do you need childcare?/¿Necesitas cuidado de niños?

Enter names and ages of children//Introduzca nombres y edades de los niños.

Event Fee(s)

Sponsoring Organizations are invited to send representatives to the Congress for free. Event fee contributions from these participants are completely optional, but will help offset the cost of providing accessible registration to as many CSPL members as possible.

Registration Fees *

Registration covered by sponsorship - $ 0.00

Optional: Discounted fee for member of Sponsoring Institution - $ 50.00

Optional: I want to cover my full registration to help keep the Congress affordable for CSPL members - $ 300.00

Total