The 11th Annual Healthy Churches 2030 Conference

Registration Form

Attendee Registration Form

Registration Type

Purchase your individual conference admission

Use this form to purchase a new group package (starting at $375 for 25 attendees).

To register as an individual member of a group package, reachout to your Group Leader/Point of Contact or email HC2030Conference@balmingilead.org

Referral Code

Select Payment Package

Select Payment Method

Please note: All credit card payments are processed through PayPal Checkout. You do not need a PayPal account for this transaction. When using a Credit/Debit Card for payment, the receipt will still be sent from PayPal Checkout.

Check payment instructions will be included in the group pre-registration confirmation email

Name Prefix

First Name

Last Name

Name of Church/Organization/Company

Phone Number

Email (Enter the email you will use to login to the conference platform)

Password (Enter the password you will use to login to the conference platform)

Repeat Password (Enter the password you will use to login to the conference platform)

City

State

Postal/Zip Code

Country

I am registering for the Conference as (Select One Organizational Role Below.) Data used for reporting purposes only.

Congregation Member, Healthy Ministry, and Faith-based Organization

Ministerial Leaders (Bishops, Pastors, Executive Ministers)

Public Health, Academic and Research Partners

Community Health and Social Workers

Healthcare Professionals (Clinical, Providers, Nurses, Allied Healthcare Professionals)

Private Sector Professionals

Tell us how you found out about the Healthy Churches 2030 Conference this year?