Religious Responses to Climate Change – Registration Form

This year’s conference will offer a hybrid on-line/in person mode.

Select Rate*
Preferred Title
Ms., Rev., Dr., etc.
Name*
First Name Last Name
Address*
Street Address City/Town Province/State Postal/ZIP Code Country
Telephone*
Email Address*
Denomination or Religious Affiliation
Do you plan to join us in person or via Zoom?*
If in person, my food needs are:
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Do you have mobility needs or other accessibility support needs?
How Did You Hear About the Conference?
- VST Website
- Religious/Academic Organization
- Social Media
- Word of Mouth
- VST Newsletter
- Media-Podcasting
- Other
Specify Other
Financial Aid

Limited financial aid is available. Please contact Rabbi Laura Duhan-Kaplan at ldkaplan@vst.edu before completing this form.
Full payment due with registration.

Paying by credit card? Press the button "Register and Pay" for secure credit card processing by Stripe on next page.
Check the box below in order to pay by cheque
- Pay by Cheque
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Full payment due with registration.