Clergy Leadership Academy 2019-2020

*First Name
*Last Name
*Email
Church Affiliation (include city)
*Role

The participant cost of $500 per year can be paid in a lump sum or divided as needed. When you submit this form, you will be taken to a payment screen.  You can pay all or part by credit/debit card at this time.  (Enter the amount you wish to pay or the entire amount will be charged to your card.)  You can also close the payment screen and send a check to the conference office.  Contact Jody Thone to make alternate financial arrangements.

Partipant ($500)
Mentor
Other
Other Role - Please explain
*Year of Participation
Year 1
Year 2
Year 3
Other or Not Applicable
*Other Participation - Please explain
Anything else you would like us to know at this time?

Clicking the "Submit Form" button completes your registration. 

  • On the next screen, you can select "Pay Now" to pay by credit or debit card. Enter the amount you wish to pay at this time or the entire amount will be charged.  
  • OR you can send a check to the Minnesota Conference Office, 122 W. Franklin Ave., Suite 400, Minneapolis, MN 55404.  

You will receive an e-mail confirmation with a link to your registration.  Use this link to make changes, payments or print your receipt. 

Photographs may be taken during this event.  By registering for this event, you are consenting to the use of your image in printed pieces and on the website.

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