Fields marked with * are Required

Once you have completed the following form, we will mail you a confirmation with payment instructions.  Payment will be required within 10 days of receipt or your reservation will be cancelled.  Please contact Montreat Central - (800) 572-2257, ext. 335 if you have any questions.
Online registration is available for residents of US and Canada only.
First Name(s) *
Last Name *
Name(s) for Name Tag *
Address *
City *
State/Province *
Zip *
Country *
Home Phone *
Work Phone
Email *
Local Church
Church PIN Number

(available at your church office)

Presbytery *
Emergency Contact Name *
Emergency Contact Phone *
This is my first Montreat conference * Yes   No

Conference Information

Number of Adult Participants ($98.00 conference fee required per person)
Add $15 if registering after October 2

Child Care

Please list all children needing child care:
First Child: $45
Additional Child: $30

Family Maximum: $100
Child 1 Name: Age:
Child 2 Name: Age:
Child 3 Name: Age:
Child 4 Name: Age:

Housing and Meals Information

I have arranged other housing
I will be staying at
The phone number there is
I want to register for housing and meals

Package rates for Assembly Inn & Glen Rock Inn are per person and include all room/meal charges (Saturday breakfast- Sunday lunch) for the entire conference.  No adjustments will be made, except for extended stay. No room charge for children under 12 years of age in the same room with two parents. If only one parent is present, parent must pay the single occupancy rate. Rollaway is an additional charge of $10.00 per day. Meal cost for the entire conference for each child 5-11 is $23.00. No meal cost for children under 5.

Housing and meal balance will be due on or before October 2. If registering after October 2, total will be due upon receipt of written confirmation.

Please Reserve This Many Rooms
Assembly Inn

Single occupancy, Private Bath: $223.25
Double occupancy, Private Bath: $145.25 per person
Single occupancy, Connecting Bath: $185.25
Double occupancy, Connecting Bath: $135.25 per person

Glen Rock Inn

Single occupancy, Connecting Bath: $125.25
Double occupancy, Connecting Bath: $85.25 per person
Total Number of Adults
Total Number of Children age 12 and up
Total Number of Children age 5-11 $23.00 per child for meals
Total Number of Children under age 5 no charge
I will need a crib complimentary
I will need a rollaway $10.00 extra
I would like a Male Roommate    Female Roommate
Note: If a roommate cannot be assigned, you will be responsible for the single rate
...or I would like to room with
Arrival Date
Departure Date

Payment Information
   I understand I will be receiving a confirmation and the above amount will be due within 10 days of receipt or my reservation will be cancelled.

Other Information
How did you hear about this conference?
Please specify if you selected "newspaper/magazine" or "other"
Special Requests or Questions:
If you do not receive an online confirmation screen when you hit "Submit", your registration did not go through.  If this happens, please e-mail: webmaster@montreat.org