Registration Form

Hidden

Household ID

Participant Persona Template ID

Household Name

Campaign Shadow ID (Hidden)

Event ID

Date

Event Name

Contact Information

Primary Email

Country

Street

City

State

Zip

Emergency Contact Name

Their Relationship

Emergency Contact Phone

Emergency Contact Email

Registrant

Title

First Name

Middle Name

Last Name

Contact ID (Hidden)

Preferred Name

Birthdate

Gender

T-Shirt Size

Primary Contact

Yes

The primary contact for the household is the person Joni and Friends will reach out to if there are any questions or concerns

Error: You can only select one Primary Contact in your household

Applicant's Role in the Family

Husband and/or Father	Grandfather	Son	Individual
Wife and/or Mother	Grandmother	Daughter	Other

Email Type

Applicant's Personal Email

Email of Parent or Guardian

Personal Email

Email of Parent or Guardian

Hidden

Search Email (Hidden)

Email to Save to Salesforce (Hidden)

First Index (Hidden)

Last Index (Hidden)

Duplicate?

Error

Possible Errors:
1) If you select "Applicant's Personal Email" you must populate the "Personal Email" Field.
2) Personal Emails entered for each contact must be unique.

Best Number to Reach You

Home Phone

Work Phone

Mobile Phone

Other Phone

Church Name

Do you have a disability?

Yes

What disability/disabilities do you have?

Select your disabilities. Hold 'Ctrl' (or 'Command' on Mac) to select multiple options.

Other Disability - Please provide details

What is important for us to know about your disability?

Languages other than English

Hold 'Ctrl' (or 'Command' on Mac) to select multiple options.

Registering As

Participant

Volunteer

Choose a Volunteer Role

Role Description

Required Skills

Volunteer Persona Template ID (Hidden)

Presentation Title

Final Persona Template ID (Hidden)

Email List (Hidden)

Duplicates Found (Hidden)

Primary Contact Logic

Errors detected. Please correct any error messages above before submitting

Contact Information