Personal Information

NOTE:  The information you provide for the badge name will be printed exactly as entered.  If you do not indicate a badge name, your first and last name will be used.

Please note: (1) Membership in the North American Pacific/Asian Disciples is granted to members of NAPAD congregation, to Pacific/Asian Disciples whose congregation are not affiliated with the NAPAD, and to non-Pacific/Asian Disciples who have expressed an abiding affinity for the NAPAD. (2) To be eligible to vote at business meetings of the Convocation, persons must be at least eighteen years old and be duly registered. 

Address, Phone and E-mail

Emergency Contact Information

Congregation

Medical or Dietary Restrictions or Concerns

Registration Options

  • Please indicate your roommate preference below

  • (Only for those with special needs that would require a private room)

Lodging: Participants who select lodging options will stay in University of Utah Residence Halls (we have limited rooms reserved). All rooms have two single beds. 

Meals: Meals are provided as part of your registration.

If you'd like to make a donation to support the Convocation and our ministry effort, please feel free to contribute any amount of your choice here.

$

*There will be a Pre-Convocation event for youth and young adults from Monday, 15th, through Wednesday, 17th. Please contact Jess Kim ([email protected]; 714-459-0976)) for more details.

*Scholarship for Seminarians: Please ask NAPAD office.

Cultural Night Information

Cultural Night is Friday, July 19th.  The ticket for Cultural Night is included in your registration fee.  If you need additional tickets, provide the quantity below:  The cost is $30 per ticket. 

($30.00/ea.)

$0.00


Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
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