Mission u - Adult Registration 2019

This form is to register adults and any children accompanying them.

To register all youth grades 6-12, use the youth registration form.

  • Complete this registration in order.
  • DO NOT jump ahead to other questions until you have answered the previous question. 
Contact Information
*First Name
*Last Name
*Address 1
*City
*State
*Zip
*Phone
*Email
*Select Your Church

Churches sorted by Church name, then City/Town name

*Other
*District

Select your district from the drop-down list below. 

Cost calculator

Payment in full required by Friday July 12, 2019 to avoid $25 late fee.

*How are you registering?
  • Note: Adult Family registration is defined as any two related adults rooming together.  
  • The costs below do NOT include any children.  There will be another question asking if any children are accompanying you
Full Event - Resident ($250)
Full Event - Commuter ($165)
Full Event - Family Rate (Two related adults)-Resident ($425)
Sampler Day Only ($35)
*Residents, will any children (kindergarten - grade 5) be accompanying you?

If Children grade 6-12 will be accompanying you, they need to register independently of you on the Youth Registration Form

Yes
No
*Residents, Indicate the number of children (kindergarten - grade 5) you will be bringing with you

For Residents

One Child ($80)
Two Children ($120)
Three Children ($140)
*Commuters, will any children (kindergarten - grade 5) be accompanying you?

If Children grade 6-12 will be accompanying you, they need to register independently of you on the Youth Registration Form

Yes
No
*Commuters, how many children (kindergarten - grade 5) will be accompanying you?
One Child ($45)
Two Children ($90)
Three Children ($135)

First Child

*Child 1 - Name
Child 1 - Parent Information

If the Parent of this child is different than the person registering, list the Name and Phone number of this child's parent below

*Child 1 - Boy or Girl?
Boy
Girl
*Child 1 - Age

Enter the age of Child 1

*Child 1 - Grade Completed

Enter the most recent grade completed by this child.

Second Child

*Child 2 - Name
Child 2 - Parent Information

If the Parent of this child is different than the person registering, list the Name and Phone number of this childs parent below

*Child 2 - Boy or Girl
Boy
Girl
*Child 2 - Age

Enter the age of Child 2

*Child 2 - Grade Completed

Enter the most recent grade completed by this child.

Third Child

*Child 3 - Name
Child 3 - Parent Information

If the Parent of this child is different than the person registering, list the Name and Phone number of this childs parent below

*Child 3 - Boy or Girl
Boy
Girl
*Child 3 - Age

Enter the age of Child 3

Child 3 - Grade Completed

Enter the most recent grade completed by this child.

Registrant details
Check all that apply

Indicate if you (are a)

First-timer? Welcome!
2019 Mission u Team
Need CEUs?
UMW Conference Officer
UMW District Officer
Other - indicate below (study leader, music, tech, etc)
*Other
*Mission Studies
  • Mark only one.
  • Afternoon Workshops: new for 2019! There will an opportunity to choose a 2-hour workshop on
    Friday and Saturday afternoons. Please watch your email in late May or early June for more
    information.
Mission u in Action - hands-on work off-site during the day – will miss morning activities
Geographical Study - One Hundred Fifty Years of United Methodist Women (1st year)
Social Issue Study – What About Our Money? A Faith Response (2nd year)
Spiritual Growth Study - Practicing Resurrection: The Gospel of Mark and Radical Discipleship

Mission u in Action combines the best of Mission u's learning, reflection, and worship with hands-on service. Participants will spend the morning in service, returning in the afternoons have time for additional learning. This track is open to all, regardless of skills or abilities. 

If you wish to pick a different study, change your answer in the question above. 

If you have any limitations that we should be aware of, physical or other, list them below:
Family Second Adult Registration Information

You indicated that you are registering under the Family rate, which includes any two related adults.

*Name of Second Adult Family Member
*Is the contact information for this related family member different than the information listed above for the first family member?

Contact information includes

  • Address, PhoneEmailChurch
Yes
No
*Second Adult Family Members Contact Information

If the Address, Phone, Email or Church is different for this second adult family member, enter the differences below

*Check all that apply for the Second Adult family member
First-timer? Welcome!
2018 Mission u team
Need CEUs?
UMW Conference Officer
UMW District Officer
Other - indicate below (study leader, music, tech, etc)
*Other
*Mission Studies - Second Adult
  • Mark only one.
  • Afternoon Workshops: new for 2019! There will an opportunity to choose a 2-hour workshop on
    Friday and Saturday afternoons. Please watch your email in late May or early June for more
    information.
Mission u in Action - hands-on work off-site during the day – will miss morning activities
Geographical Study - One Hundred Fifty Years of United Methodist Women (1st year)
Social Issue Study – What About Our Money? A Faith Response (2nd year)
Spiritual Growth Study - Practicing Resurrection: The Gospel of Mark and Radical Discipleship
If you have any limitations that we should be aware of, physical or other, list them below:
On Campus Housing
*Housing (double occupancy/twin beds)

If you are staying as a resident, please indicate your roomate preference

Prefer a friend
Single please
Assign me an angel
*Name of preferred roommate
Housing at California U of PA

California U of PA is fully handicapped accessible and the entire meeting space, including dorm rooms are air-conditioned. All rooms have a bathroom with a shower/no tub.

  • If there is some special accommodation needed, please indicate here: 
Cancellation Policy
*Mission u Refund and Cancellation Policy

Registration requires at least a $40 NON-REFUNDABLE deposit upon completion

If you have registered with the family rate, an $80 deposit is required. 

I understand that my deposit is non-refundable

After clicking the Register button below, you will be taken to a summary screen.  From this screen, if you would like to pay the full amount via credit card, click the green Pay Now button.  If you would like to pay the minimum deposit amount or a larger partial payment, please change the amount in the box beside the white "Pay Deposit Only Now" button and click on that button. 

If you would rather pay by check, print out the first page of this registration form and mail it along with your check payable to WPA Mission u to:

  • Dara Sterling, Registrar
  • 612 Village Green Blvd E.
  • Mars  PA  16046

Contact Dara by phone: 724-591-5251 or email: dara.sterling@gmail.com

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