CORPS VITALITY CONFERENCE REGISTRATION

Please note:

  • Final registrations are due February 1. 
  • Housing will be assigned on a "first come first served" basis.  
  • Lodge rooms can only be assigned to multiple occupants or medical necessity.
  • This is a 1 star event.
  • Cost is $40.00 per person
Name *
Name
Choose one
(You can register up to 12 delegates)
Delegate 1 *
Delegate 1
Delegate 2
Delegate 2
Delegate 3
Delegate 3
Delegate 4
Delegate 4
Delegate 5
Delegate 5
Delegate 6
Delegate 6
Delegate 7
Delegate 7
Delegate 8
Delegate 8
Delegate 9
Delegate 9
Delegate 10
Delegate 10
Delegate 11
Delegate 11
Delegate 12
Delegate 12
(please let us know which delegates, if any, want to room together and if there are any dietary restrictions)
Please check all that apply to your corps' registration
Authorization for treatment (for registration): I hereby give permission for the camp medical personnel to give first aid and medication as described in the camp standing orders, to order X-rays, routine tests, treatment; to release any records necessary for insurance purposes; to provide or arrange necessary related transportation. In the event, of physical incapacity and inability to give permission, permission is granted to the physician selected by the camp director to secure and administer treatment, including hospitalization.
Authorization for Use of Image (for registration): I hereby grant The Salvation Army the absolute right and permission to copyright and/or publish or use photographic portraits/video or pictures of myself, or in which I may be included in whole or in part, or composite or distorted in character or form, in conjunction with my name or a fictitious name, or reproductions thereof in color or otherwise, made through any media, for art, advertising, or any other lawful purpose whatsoever. I also grant The Salvation Army the same right and permission to use any statements or testimonials made by me. *