Ministry and the Mis-Wired Mind

Ministry and the Mis-Wired Mind
Mental Illness and Lay Pastoral Care

Payment in full is due at the time of registration. Register online or by mail only. No phone registrations.

A PDF version of the registration form is available.

INDIVIDUAL REGISTRANT:

$38 for both sessions - registration and payment by June 15
$22 for Session 1: Understanding Mental Illness - registration and payment by June 15

$22 for Session 2: Caring ministries and mental illness - registration and payment by July 13

GROUPS OF 4 OR MORE:

Group members must submit registrations and payment together to receive the group rate. See policies.

Number in this group: List names below.

$19 per person for Session 1: Understanding Mental Illness - registration and payment by June 15

$19 per person for Session 2: Caring ministries and mental illness - registration and payment by July 13

LATE REGISTRATION:

$30 per person for Session 1: Understanding Mental Illness - registration or payment after June 15

$30 per person for Session 2: Caring ministries and mental illness - registration or payment after July 13

Description of the sessions

Contact information

For each registrant list the name, preferred mailing address, phone number, and e-mail address.

Registrant 1	Name: Address: City/State/ZIP: Phone: E-Mail:
Registrant 2	Name: Address: City/State/ZIP: Phone: E-Mail:
Registrant 3	Name: Address: City/State/ZIP: Phone: E-Mail:
Registrant 4	Name: Address: City/State/ZIP: Phone: E-Mail:
Registrant 5	Name: Address: City/State/ZIP: Phone: E-Mail:
Registrant 6	Name: Address: City/State/ZIP: Phone: E-Mail:
Registrant 7	Name: Address: City/State/ZIP: Phone: E-Mail:
Registrant 8	Name: Address: City/State/ZIP: Phone: E-Mail:
Organization
If all registrants are from the same organization please complete the organization information below.
	Organization: Primary contact for group: Address: City/State/ZIP: Phone: E-Mail:

Special needs

If you have special needs (e.g., access) for this event, check here. Someone from the national office will contact you.

Payment method

I will send a personal check payable to BeFriender Ministry.

My church/organization will send a check payable to BeFriender Ministry.

BeFriender Ministry

1301 American Blvd. East, Suite 101

Bloomington, MN 55425

I will call BeFriender Ministry with my personal credit card information.
I will call BeFriender Ministry with the church/organization's credit card information.

952-767-0244 in the Saint Paul-Minneapolis area

Toll free 1-866-468-8708

Go to the event description for details

Please read the payment, cancellation, and refund policies before submitting your
registration. After doing so, enter "yes" in the space below.

I have read and understand the payment, cancellation, and refund policies for this event.