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Full Conference Registration

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Title
  
  Legal/Given Name
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address Line 1 REQUIRED
  i.e. 1234 First Street
  Please fill out this field. Please enter valid data.
  
  Mailing Address Line 2
  Apartment or Lot #
  Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Province (if applicable) Please enter valid data.
  
  Country (if outside U.S.) Please enter valid data.
  
  Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Other Phone Number Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Tribe/Nation Please enter valid data.
  
  Arch/Diocese Please enter valid data.
  
  Number of Emergency Contacts REQUIRED Please fill out this field.
  
  Emergency Contact 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Emergency Contact 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Medical Information (Optional)
  
  Gluten Sensitivity/Allergy? (FOR LITURGY) Yes No
  
  Will you need wheelchair assistance? Yes - I will bring my own Yes - I am requesting a wheelchair for on-site use No
  
  Photo/Video Release REQUIRED
  Tekakwitha Conference's legal representatives, videographers & photographers retain the rights and permission to publish without charge photographic and video content taken during this event. These images or videos may be used in publications, presentations, and promotional literature.
  Yes, I consent No, I do not consent Please fill out this field.
  
  Hotel/Lodging for Shuttle Service REQUIRED
  Complimentary airport shuttle service is being provided by the 2020 Planning Committee from the Raleigh-Durham International Airport to conference hotels.
  Raleigh Marriott City Center Sheraton Raleigh Hotel Residence Inn Raleigh Downtown I will provide my own transportation. I have not made hotel reservations yet. Please fill out this field.
  
  Arrival Information - Wednesday, July 15, 2020
  
  Airline Please enter valid data.
  
  Flight # Please enter valid data.
  
  Arrival Time Please enter valid data.
  
  Departure Information - Sunday, July 19, 2020
  
  Airline Please enter valid data.
  
  Flight # Please enter valid data.
  
  Departure Time Please enter valid data.
  
  I would like to pre-order a conference t-shirt. REQUIRED
  Please indicate size & quantity. Payments will only be accepted at time of pick up.
  Please fill out this field.
  
  Shirt Size 1
  
  Size REQUIRED
  Adult sizes only.
  Please fill out this field.
  
  Quantity REQUIRED
  Numbers only.
  Please fill out this field. Please enter valid data.
  
  Shirt Size 2
  
  Size REQUIRED
  Adult sizes only.
  Please fill out this field.
  
  Quantity REQUIRED
  Numbers only.
  Please fill out this field. Please enter valid data.
  
  Shirt Size 3
  
  Size REQUIRED
  Adult sizes only.
  Please fill out this field.
  
  Quantity REQUIRED
  Numbers only.
  Please fill out this field. Please enter valid data.
  
  Shirt Size 4
  
  Size REQUIRED
  Adult sizes only.
  Please fill out this field.
  
  Quantity REQUIRED
  Numbers only.
  Please fill out this field. Please enter valid data.
  
  Shirt Size 5
  
  Size REQUIRED
  Adult sizes only.
  Please fill out this field.
  
  Quantity REQUIRED
  Numbers only.
  Please fill out this field. Please enter valid data.
  
  Shirt Size 6
  
  Size REQUIRED
  Adult sizes only.
  Please fill out this field.
  
  Quantity REQUIRED
  Numbers only.
  Please fill out this field. Please enter valid data.
  
  Shirt Size 7
  
  Size REQUIRED
  Adult sizes only.
  Please fill out this field.
  
  Quantity REQUIRED
  Numbers only.
  Please fill out this field. Please enter valid data.
  
  Pricing & Fees
  
  Registration Fee25.0
  
  Conference Fee REQUIRED 110 – Senior Member 150 – Senior Non-Member 135 – Adult Member 175 – Adult Non-Member 80 – Youth (13-17 yrs.) 55 – Child (4-12 yrs.) 0 – Toddler (3 & Under) Please fill out this field.
  
  Early Bird Discount (Until March 27, 2020)-15.0
  
  Meal Package
  Includes Dinner on Wednesday, July 15; Lunch & Dinner on Thursday - Saturday, July 16-18
  240 – Adult (13 & Up) 210 – Child (4-12)
  
  Dietary Needs (if applicable) Vegetarian Vegan Gluten Free
  
  Membership Registration/Renewal
  
  NOTE: Valid for next applicable membership year.
  
  Would you like to register or renew your membership? REQUIRED Please fill out this field.
  
  Membership Type REQUIRED
  Valid for next applicable membership year.
  Please fill out this field.
  
  Donation
  Make a contribution to the Friends of Saint Kateri Restricted Fund
  $ Please enter a positive decimal.
  
  Processing Fee10.0
  
  Why a processing fee? It is important for us to be able to offer online registration as a convenient, paperless alternative to our traditional registration forms. For this service, we are charged a nominal fee for every transaction we process online, and have included this flat rate fee as a means of helping us cover this administrative cost.
  
  Total:
  
  Submit
  
  Proceed to Payment
- enjoy the member rates!
  
  If you are a non-member interested in the benefits of membership, you may include membership dues for the current year
  (07/01/2019 - 06/30/2020) in your registration total and become eligible for the member conference fee rate at this time.
- Shuttle Information
  
  If you are registering for the conference but have not yet made your hotel or travel arrangements, please contact our national office as soon as they are confirmed. The annual planning committee is pleased to offer complimentary shuttle service between Raleigh-Durham International Airport and our three conference hotels on Wednesday, July 15, for arrivals and Sunday, July 19, for depatures.
  
  If you are in need of shuttle services, but plan to arrive by train or bus, please contact the office directly.
- Concelebration & Assistance for Liturgy
  
  If you are a priest or deacon who wishes to concelebrate or assist in our conference liturgies, please contact Terrie Baldwin at terrie.baldwin@raldioc.org or at (919)821-9710 for a Diocese of Raleigh suitability form and instructions.
  
  Deadline for submission is May 1, 2020.
- Meal Plan Option
  
  Planning meals for a four day conference can be a challenge, especially for those with specific dietary needs. For your convenience, we offer our attendees the option to purchase a meal plan which includes seven meals throughout the conference. We build our prices based on the following formula:
  Cost per Plate + 22% Service Charge + Local Taxes (F & B; Sales)
  
  Vegetarian, Vegan, and Gluten Free selections available!

Full Conference Registration

Pricing & Fees