395 Lakeshore Dr., North Bay, ON, P1A 2C5 | Phone: 1-833-236-0281 Ext. 1 csrc@united-church.ca
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2024 Regional Meeting Online Registration Form

Name(Required)

Contact Information

Please ensure that your contact information and role has been updated in ChurchHub, either by yourself if you are ministry personnel, or by your community of faith administrator if you are an Elected Lay Representative. We use the information found in ChurchHub to check if you have voting privileges for this meeting. Thank you for your attention to this matter.

Consent(Required)
Canadian Shield Regional Council protects your personal information by adhering to all legislative requirements with respect to privacy. The collection of information on this registration form is for the purposes of Canadian Shield Regional Council only. Please be aware that photography and videotaping will occur at the regional meeting. Photos or videos of participants may, or may not, be taken during the event/activities. In turn these images may be published in print or posted online on our website, YouTube channel, photo galleries or used at the discretion of Canadian Shield Regional Council. By submitting this registration form you are indicating your consent to the collection and use of your information and photo and/or video for the use of Canadian Shield Regional Council.
Connection to Region(Required)
Please select your member connection to the region.

Please let us know which community of faith you are from. Please include the chruch name and the city/town it is in. (i.e. Trinity UC - Thunder Bay)
Workshop 1 - Saturday 1:15 -2:00 p.m.
Workshop 2 - Saturday 3:00 p.m - 4:00 p.m.
Workshop 3 - Saturday 4:15 p.m. - 5:15 p.m.
Please let us know if you have any accessibility needs we should be aware of.

Thank you so much for registering for our 2024 Canadian Shield Regional Meeting. Please hit submit to complete your registration. A confirmation email will be sent to you shortly and a zoom link will be shared with you closer to the meeting date. Blessings!