2020 Virtual Annual Conference Registration CC 2020 Virtual AC Registration with Credit Card Payment Registrant Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Home PhoneCell PhonePlease leave blank if no cell phoneEmail* Enter Email Confirm Email Gender*Male and/or identify as maleFemale and/or identify as femaleIdentify as theyGenerational Group*Born before 1925Born in years 1925 -1942Born in years 1943 - 1964Born in years 1965 - 1979Born in years 1980 - 2000Born in years 2001 and laterEthnicity*You may select any combination that applies or enter a description in the "Other" option.African-AmericanAsianCaucasianHispanicMulti-EthnicNative AmericanPacific IslanderDistrict*If you're not affiliated with a church in one of the four DSC Districts, please list your affiliation in the "Other" boxNorthEastSouthWestNorth District*Select from North District ChurchesA Grain of Mustard Seed UMF - Las VegasAdvent UMC - Las VegasBoulder City UMCCommunity UMC - WilliamsCommunity UMC - CalienteDesert Spring UMC - Las VegasFederated Community Church - FlagstaffFirst Tongan UMF - Las VegasFirst UMC - WinslowFirst UMC - HendersonGlobal Community UMF - Las VegasGrace Fil-Am Ministry - Las VegasGreen Valley UMC - HendersonHolbrook UMCHope UMC - Bullhead CityJourney UMC - Las VegasKorean UMC - Las VegasMesquite UMCMohave Valley UMC - Fort MohaveNeedles Community UMFPage Community UMCPahrump Valley UMC - PahrumpParker UMCSt. John's UMC - KingmanSt. Michael's UMC - Lake Havasu CityTrinity Heights UMC - FlagstaffTrinity UMC - Las VegasUniversity UMC - Las VegasZion UMC - North Las VegasEast District*Select from East District ChurchesAldersgate UMC - PhoenixArizona Korean UMF - PhoenixCentral UMC - PhoenixChandler UMCCross in the Desert UMC - PhoenixCrossroads UMC - PhoenixDayspring UMC - TempeDesert Chapel UMC - Apache JunctionDesert Foothills UMC - PhoenixDesert Mission UMC - ScottsdaleFirst UMC - GilbertFirst UMC - MesaFirst UMC - TempeGold Canyon UMCGrace UMC - MesaJourney UMF - MaricopaNorth Scottsdale UMCParadise Valley UMCPayson UMCPhoenix Native American FellowshipPrimera Iglesia Metodista Unida - PhoenixRed Mountain UMC - MesaScottsdale UMCShepherd of the Pines UMC - OvergaardSong of Life UMC - Queen CreekSpirit of Joy UMC - CoolidgeSt. Matthew UMC - MesaSt. Paul's UMC - GlobeSun Lakes UMCThe Bridge UMC - PhoenixThe Fountains, a UMC - Fountain HillsTongan UMC - MesaUMC of Casa GrandeVelda Rose UMC - MesaWesley UMC - PhoenixWhite Mountain UMC - Show LowSouth District*Select from South District ChurchesBowie UMCCatalina UMC - TucsonChrist Church UM - TucsonDesert Skies UMC - TucsonDuncan UMCEl Mesias UMC - NogalesFirst UMC - SaffordFirst UMC - EloyFirst UMC - TucsonFirst UMC - BisbeeGrace UMC - DouglasHuachuca UMCKorean UMF - TucsonMenlo Park UMC - TucsonNew Hope/ Nueva Esperanza UMCPatagonia Community UMCSan Pedro Valley UMC - BensonSanctuary UMC - TucsonSanta Cruz Valley UMC - SahuaritaSierra Vista UMCSt. Francis in the Foothills UMC - TucsonSt. James UMC - TucsonSt. John's UMC - TucsonSt. Mark's UMC - TucsonSt. Paul's UMC - TucsonTrinity UMC - BisbeeUMC of Green ValleyUMC of the Good Shepherd - KearnyVista de la Montaña UMC - TucsonWillcox UMCWest District*Select from West District ChurchesAjo Federated ChurchCalvary UMC - PhoenixCamp Verde UMCChino Valley UMCChrist Community UMC - AvondaleCity Square Church UMF - PhoenixCommunity Church of BuckeyeDove of the Desert UMC - GlendaleEpworth UMC - PhoenixFaith UMC - PhoenixFirst UMC - PhoenixFirst UMC - GlendaleFirst UMC - YumaFirst UMC - Sun CityFort Yuma UMC - YumaGila Mountain UMC - YumaHaven UMC - JeromeLakeview UMC - Sun CityLiberty UMC - BuckeyeMaranatha UMF - PhoenixMission Bell UMC - GlendaleMountain View UMC - CottonwoodNew Song UMC - SurpriseNuevo Pacto UMF - PhoenixPrescott UMCPrescott Valley UMCSedona UMCShepherd of the Hills UMC - Sun City WestShepherd of the Valley UMC - PhoenixSpirit of Hope UMC - PeoriaSpirit Song UMF - PeoriaSunrise UMC - PhoenixTrinity UMC - PhoenixTrinity UMC - YumaWillowbrook UMC - Sun CityYoungtown UMC - YoungtownWhen you select either clergy or laity more information will appear for you to make your selection. Please choose one.Membership StatusWhen you select either of the membership status choices a drop down with selections will appear with the appropriate registration fee.ClergyLaityClergy Status*Clergy Other Retired Clergy Member/Other Conference/DenominationClergy Other- Clergy Member/Other Conference/DenominationDSC Clergy Full MemberDSC Clergy Full Member Extension MinistryDSC Clergy Associate/AffiliateDSC Clergy on LeaveDSC Local PastorDSC Clergy RetiredDSC Provisional Elder/DeaconLaity Status*District At-Large MemberAnnual Conference Young AdultDistrict Youth Lay MemberAnnual Conference Lay MemberDSC DeaconessLocal Church Lay MemberLocal Church Lay Person AssignedDo you have access to Internet?* Yes No What device will you be using?Need Interpretation?* Yes - Spanish Yes - Korean No Today's Date Date Format: MM slash DD slash YYYY Total $0.00 Credit Card* Card Number Cardholder Name CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.