American Baptist Churches of Pennsylvania and Delaware

2018 Thrive Conference On-line Registration Form



Please fill out the entire form. Each person, whether you register as an individual or in a group must complete a registration form. If the form question does not apply to you simply select "No". Once you select "Submit" the completed form will be emailed to Jodie Vasbinder and Susan Mahserjian-Smith. You will return to a thank you page that includes a link to our on-line payment feature. If you choose not to submit an on-line payment you will be expected to make payment by check prior to coming to the Conference. 

If you have questions you can contact:

Registrar:  Jodie Vasbinder
email:  ABWMOPADREGIONREGISTRAR@gmail.com
Phone:  814-845-2355

or 

Treasurer:  Susan Mahserjian-Smith
email:  susan@mahserjian-smith.com
phone:  570-419-1701 (cell) 

Price Increases After June 1, 2018
& July 1, 2018

2018 Conference Registration Form (pdf)
2018 Conference Workshops

Important Note: Please remember to keep track of total payment due as you fill out this form so you can make an accurate payment via our on-line payment feature. Select "Give Now" from the choices on the On-line Payment Web Page. Fill out the form and select 2018 Thrive Conference from the categories list. Then make a one time payment for the complete cost of your Conference event participation.

Make an On-line Payment

When paying on-line, please forward your payment
confirmation email to the registrar:

abwmopadregionregistrar@gmail.com

First 40 First Time Registrants
 receive a $50 scholarship. 
Contact Registrar Jodie Vasbinder for availability.
email: abwmopadregionregistrar@gmail.com
phone:  814-845-2355 


First Name * Required
Last Name * Required
Title
Name Tag Name
Address
City
State
Zip Code
Email Address * Required
Phone Number
Cell Phone Number
Church (Church name and city)
Association
Are you a female pastor?
Are you a pastor's wife?
Is this your first Conference
Who invited you
Age
Payment Method
Do you need a handicapped accessible room?
Explain Need for handicap room?
Do you have special dietary needs

Roommate Choice
I require late check in (after 6:00 pm)
If you need a late check in what is your arrival time?
Full Time Participant

Select one appropriate fee.

Select Private Room if you want
to have single room.
Part Time Participant
Conference Registration & University
Fees are payable by all conferees
and are already included in full time cost.


Conference Registration
    (Required) $45.00

Additional Cost
Workshop Session A (Sat. 1:00 pm) 1st choice
Workshop Session A (Sat. 1:00 pm) 2nd choice
Workshop Session B (Sat. 2:45 pm) 1st choice
Workshop Session B (Sat. 2:45 pm) 2nd choice
AB Girls Only:  Sponsor on Campus
AB Girls Only:  Tee Shirt Size

Please validate by entering the text from the image below into the provided field.
YOU WILL THEN BE ABLE TO CLICK THE SEND BUTTON TO SUBMIT YOUR FORM.