Presbytery Gathering Registration

First Name:*

Currently Serving As*

Representing My Congregation as:Congregation MemberRuling Elder (Voting Commissioner)Ruling Elder (Non-Voting Guest)Commissioned PastorTeaching ElderOther

Do you serve on a Presbytery Ministry Team?

Active Member of:Admin & SupportCongregational VibrancyCoR/NDynamic LeadersMission & OutreachVision TeamNot Applicable

I plan to participate in the Community Exegesis

Yes

No

Last Name:*

Church or Other Affiliation*

Representing/Attending As or ForGuest or OtherCorresponding MemberGLPby Staff MemberHonorably RetiredMember at LargeModerator, Team or Sub-TeamSpecialized MinistryUKirkAffton Presbyterian ChurchAlton, FirstAlton, SalemBallwin, St. MarkBallwin, TaiwaneseBelleville, First UnitedBelleville, WestminsterBethaltoBourbon, ArgoBridgeton, John CalvinBridgeton, MizpahBrighton, FirstCape Girardeau, FirstCape Girardeau, WestminsterCollinsville First UnitedCrestwood, SouthminsterCrystal City, GraceCuba, FirstCuba, Trinity ChapelDardenne Prairie, DardenneDexter, FirstDoniphan, FirstEdwardsville, FirstFarmingtonFerguson, FirstFiskFlorissantJohn KnoxFredericktown, FirstFrontenac, Faith and Des PeresGerald, BoeuffGlendaleGranite City, First UnitedHardin, FirstHillsboro, FirstGranite City, First UnitedHardin, FirstHillsboro, FirstHouse Springs, HillsideImperial, RockIronton, FirstJackson, FirstJerseyville, FirstKirkwood, FirstLadue, Ladue ChapelMarble Hill, LutesvilleMaryland HeightsMehlville, CalvaryMoline Acres, ThirdMoroOverland, New HorizonsOverland, PendoPacificPark Hills, FirstPendoPerryville, FirstPoplar Bluff, FirstPotosiSedgewickville, WhitewaterSikeston, Hunter Memorial FirstSt. CharlesSt. Charles, New HopeSt. Louis, BereaSt. Louis, Cote BrillianteSt. Louis, Curby MemorialSt. Louis, Gibson HeightsSt. Louis, Oak HillSt. Louis, SecondSt. Louis, St. AndrewSt. Louis, WestminsterSt. Louis, Wurdack MemorialSte. Genevieve, FirstSouthminsterSteelvilleSullivan, FirstUnion, FirstUniversity City, First of St. LouisUniversity City, TrinityWashingtonWebster GrovesWildwood, Woodlawn ChapelWood River, LoveJoy United

Are you attending for the first time?

Yes/NoYesNo

Will you need childcare?

Yes

No

Phone:

Email: *

Mailing Address*

PO Box/Street Address City State Zip Code

Question or Comments Here:

SubmitReset