Registration for Route 122 – Leadership in the Ninth Essential Nov. 29-Dec 1, 2017. Before making your selections below, review the information and event schedule found at https://dscumc.org/event/route-122/ Registrant Name* First Last Email* Cell Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency Contact*Emergency Contact Phone*Vegetarian mealsIf you have any additional dietary requirements, please describe in the "Special Needs" box below I require vegetarian meals Other special needsPre-Conference Session (optional)Conference Developers and people who are new to the Route 122 Fellowship are invited to come early for a morning session on Wednesday, November 29th from 9 – NoonDeveloperNew to Route 122Track*(please see schedule for details)BishopDeveloperDSDCMLocal Church LeaderWorkshops (pick three)*(please see schedule for times) Note: "Who Are We?" is a three-part workshop, so no other selections are needed. Who Are We? HCI & Beyond Nevertheless She Persisted Leading into the Hard Conversations Unpacking the 9th Essential Multi-Cultural Ministry Who Is My Neighbor Grow Great Leaders Aligning for Vitality Ground Transportation*I will make my own arrangements for ground transportation while in Las VegasI need ground transportation provided for me while in Las VegasArrival/Departure informationIf you indicated that you need ground transportation, please provide your arrival date, time, airline & flight # as well as your departure date, time, airline & flight #Lodging*I will be staying at the Tuscany SuitesI will be staying elsewhereRegistration Fee* Price: $95.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.