Christian Citizenship Seminar 2017

 

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  For the purpose of clearing security for our meeting with government officials, please enter your full legal name as it appears on government ID. If your ID was not issued by the US Government, please list your passport number and country of origin.

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Name:

 

 

 

 

       

 

The Church of the Brethren respects and protects your privacy. Choose e-mail updates at www.brethren.org/signup

 


   


   


   


  You must supply a valid e-mail address or phone number in order for us to contact you.

Do you already have a brethren.org username and password? Please to prepopulate your information.

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The Church of the Brethren respects and protects your privacy. Choose e-mail updates at www.brethren.org/signup


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Question - Required - Phone type



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Question - Required - Birth date




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Question - Required - Specify your grade or role during CCS 2017





  Don't know your church code? Go to Find-a-Church and search for your congregation. Remember to click on your congregation's name in order to find the church code. Then copy and paste it into the box below.
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Question - Not Required - Is this your first Christian Citizenship Seminar?


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Question - Required - Would you like to tour the UN? If this is your first CCS, the UN tour is required. If you have already toured the UN, the tour is optional. Those who do not tour the UN must still be with an advisor during the tour time.


   


 
Question - Not Required - Advisors, would you prefer to room by yourself for an additional charge of $350?


 
Question - Not Required - Do you have a gift for music, art, drama, etc. that you would be willing to share at CCS?


 

(Maximum response 255 chars, approx. 5 rows of text)

 
Question - Not Required - Would you be interested in helping to lead worship?


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Question - Required - We will have a group meal the first night of CCS. Which of the following would you like to order?




 

(Maximum response 255 chars, approx. 5 rows of text)

 
 

CCS Privacy Policy and Photo Release

By registering for Christian Citizenship Seminar, you voluntarily submit personally identifiable information. We will use this information to communicate with you about CCS and to facilitate your participation at the conference. This information will never be publicly posted or sold. However, we may share the following information with other Church of the Brethren programs and colleges in which we think you might be interested: name, contact information, date of birth, gender, and home congregation.

You may be pictured and identified by name, hometown, and/or congregation in CCS and Church of the Brethren related publications.

If you would not like this information to be shared with such programs, please write or e-mail the YYA Office at cobyouth@brethren.org

NOTE: $200 deposit, non-refundable, is due within one week of registering.

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