2023 Special Regional Assembly Registration

Name *

First

Last

Congregation (Church, City) or Northern Lights Region affiliation *

Email *

Voting Eligibility Guidelines:

1) Names of Congregational Voting Representatives must be submitted to the Regional Office, prior to registration, by a church's moderator or pastor. 2) Clergy with regional standing and all current Regional Board members are automatically eligible to vote.

Voting Status *

I will be voting
I will not be voting

I am voting as a: *

Congregational Voting Representative (a pastor or moderator has submitted my name)
Clergyperson (I have standing in the Northern Lights Region)
Regional Board member (I am currently on the Board)