Please enable JavaScript in your browser to complete this form.Register here if you are a workshop leader, speaker, or sponsor for the 2024 Annual Gathering! Location: Myers Park Baptist Church, Charlotte, North Carolina Dates: April 12-14, 2024 Are you or your organization interested in participating in the exhibition hall at the Annual Gathering? Register your organization here! * = required field Registration InformationAnnual Gathering *COMPLIMENTARY FOR SPEAKERS, WORKSHOP LEADERS, AND SPONSORS – $0.00Participant InformationName *FirstLastName you want to appear on your name tag (if different than above)PronounsShe/HerHe/HimThey/ThemOtherIf you identify with pronouns other than the choice above, please list them here. Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail *Do you want to be added to our mailing list? *YesNoI’m already on itPhone *Church or Organization Affiliation you would like to appear on your name tagMealsThis year, in order to reduce waste (both food and cost), we have decided to provide lunch options as an add-on for $13 a meal. Please note that this is a change from previous years’ gatherings. Email info@allianceofbaptists.org with any questions.Lunch Options – Friday, April 12 *Boxed Lunch, Meat Option – $13.00Boxed Lunch, Vegetarian Option – $13.00Boxed Lunch, Vegan Option – $13.00Boxed Lunch, Gluten-Free Option – $13.00Boxed Lunch, Gluten-Free and Vegan Option – $13.00I Will Get Lunch On My Own – $0.00Lunch Options – Saturday, April 13 *Boxed Lunch, Meat Option – $13.00Boxed Lunch, Vegetarian Option – $13.00Boxed Lunch, Vegan Option – $13.00Boxed Lunch, Gluten-Free Option – $13.00Boxed Lunch, Gluten-Free and Vegan Option – $13.00I Will Get Lunch On My Own – $0.00Additional InformationThese items are optional but still really important. Please share your date of birth with us. (This is for information purposes only as we try to collect some demographic data about the Alliance. This will not be shared with anyone.)Disability Accommodations (If you need hearing, visual, mobility, or other accommodations, please indicate below)Do you need any of the following services?Sign Language InterpretationSpanish Language InterpretationPortuguese Language InterpretationIf you are part of a congregation, to which church do you belong?Student InformationIf you are registering as a student, please provide the following information: Name of College / Grad SchoolGraduation YearPayment InformationTotal$0.00Credit Card *CardName on CardSubmit
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