Conference Registration

Name *

Email *

Street Address

City / Town

State

Phone Number (optional)

Organization (If Any)

Church Affiliation (If Any)

How did you hear about the conference?

For Church Groups: Name of Church

For Church Groups: Address of Church

For Church Groups: Contact Name

For Church Groups: Contact Phone Number

For Church Groups: Contact Email Address

For Church Groups: Expected Group Size

Name

Conference Sponsor

Waterbury Church of Christ
3211 North Main St
Waterbury, CT 06704
Phone: 203.753.6765

Click HERE to send an email and contact the conference organizers.