Registration Conference Registration We are glad to see you're interested in joining with NLOMA for the 2023 Conference! In order to register for this event, please complete and submit the following registration form.Registrant Basic InformationRegistration IDName* First Last Gender*MaleFemaleEmail* Enter Email Confirm Email Cell Phone*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Organization Name*If not currently associated with a Camp, please put none. Position Emergency ContactName* First Last Relationship* Phone*Registration & HousingPlease select double occupancy if your spouse and/or child is attending with you. I'll be attending…* Conference & Joint Recruitment Conference Only Joint Recruitment Only Housing - Conference & JR*Sunday, Feb 12 - Friday Feb. 17. Single Occupancy - $500Double Occupancy - $400Double w/ Spouse - $350Housing - Conference Only*Sunday, Feb 12 - Thursday Feb. 16. Single Occupancy - $400Double Occupancy - $300Double W/ Spouse - $250Cabin Housing (Sleeps 8) - $250Housing - JR Only*1 Night - Feb. 16-17Single Occupancy - $150Roommate Request 1 First Last Roommate Request 2 First Last Roommate Request 3 First Last Spouse RegistrationNoneConference & JR - $400Conference Only - $300Jr Only - $150Spouse NameIf Spouse is attending. First Last Child RegistrationNoneConference and JR - $150Conference Only - $125Child Name First Last Are You a NLOMA Member?*Non-Members pay $100 more for Conference Fee. Go to nloma.org/membership/ to enroll as a member today. I'm a NLOMA Member Not a NLOMA Member Are you registering as an Emerging Leader? Yes No Have you been approved for the Emerging Leaders grant?Emerging Leaders must register for "Conference Only" then "Cabin Housing." Please also select that you are a NLOMA member if you are an emerging leader. Yes No Arrival & DepartureA $150 travel credit is available for any NLOMA Member requiring assistance to the NLOMA Conference. Arrival Method* I am driving. I am flying. Riding a train. Arrival InfoShuttles will be available to and from the airport for FREE, from the Kalispell, airport: FCA Glacier International Airport. NLOMA Shuttle - FREE No Shuttle Needed Flight Number (Arrival) Arrival Time Flight Number (Departure) Departure Time Do you need financial assistance for your travel costs?*NLOMA members qualify for a $150 travel credit to help cover their travel expenses. No thanks! Please help with my travel costs! Personal Needs & PreferencesDietary Restrictions None Vegetarian Vegan Gluten-free Lactose Intolerant Do you have any mobility issues we could help accommodate?Conference SessionWhite Board ConversationsWhat camp ministry topics would you like to see discussed in White Board Conversations? Examples could be ministry itself to database/registration software to COVID Safety. PaymentAre You a NLOMA Member? Non-Members pay $100 more for Conference Fee. Go to nloma.org/membership/ to enroll as a member today. Total $0.00 Payment*You can either make an online payment or mail in a check. Process online payment Print and send check via postal mail Credit Card*Card Details Cardholder Name Submitting this form will provide you with a printable PDF conference registration that you can then mail along with payment.PhoneThis field is for validation purposes and should be left unchanged. Δ