Prophetically Reimagining the Church Conference

Date & Time

September 19-20, 2025

Location

TBD, Denver, CO

Registration Options

On-site + Online Available

Early Bird: On-Site Registration

$175.00

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Early Bird: Online Registration

$100.00

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Early Bird: On-Site Registration

$175.00

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Early Bird: Online Registration

$100.00

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Make a Donation to Juniper Formation UCC

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Name*

This field is required.

Please type your full name as you would like to appear on your name tag, including honorifics or title

Pronouns

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Please share the pronouns you would like printed on your name tag at the Conference. (optional)

City, State*

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Please include your city and state to be printed on your name tag using the following format: Denver, CO

Institutional Affiliations*

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Please list your institutional affiliations (i.e.: congregation, nonprofit, school, community group, etc.)

Mobile Phone Number*

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Please provide your mobile phone number in case we need to reach you during the conference.

Email*

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Accommodations for neurodiversity or disability*

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Please let us know if there are any accommodations you may need

Dietary Considerations*

None/No restrictions

Vegan (no animal products at all)

Vegetarian (no meat, but may include dairy and eggs)

Pescatarian (no meat, except for fish)

Gluten-Free

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Nut-Free

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Do you need translation services? If so, what language: do you need?*

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We will do our best to provide translation services to fit your need and will be in touch with you directly about options.

Choose an Option

Name*

This field is required.

Please type your full name including honorifics or title

Pronouns

This field is required.

Please share the pronouns (optional)

City, State*

This field is required.

Please include your city and state using the following format: Denver, CO

Institutional Affiliations*

This field is required.

Please list your institutional affiliations (i.e.: congregation, nonprofit, school, community group, etc.)

Phone Number*

This field is required.

Email*

This field is required.

Accommodations for neurodiversity or disability*

This field is required.

Please let us know if there are any accommodations you may need. We will do our best to make your online experience accessible.

Do you need translation services? If so, what language: do you need?*

This field is required.

We will do our best to provide translation services to fit your need and will be in touch with you directly about options.

Choose an Option

Do you want to dedicate this donation or donate as a gift to someone?

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Dedicate This Donation

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Individual's Name*

Who are you dedicating this to?

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Recipient*

Full Name*

Who is receiving the dedication notice?

Email*

What is their email address?

Personal Message Optional. Write a personal note to the recipient.

Help Cover Costs & Fees

Help make the most of your contribution by covering the very few costs we incur when fundraising online, including:

Credit Card & Bank Fees
IT & Security Costs
Software Platform Fees

Online payments are one of the most efficient ways for us to fundraise. Software and automation reduce our manual labor and streamline our financial reconciliations so we can focus more of your contribution on making a true impact.

Prophetically Reimagining the Church Conference
Early bird registration through 7/1/2025

Early Bird: On-Site Registration

Early Bird: Online Registration

Make a Donation to Juniper Formation UCC

My Registrations

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Special Notes

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Prophetically Reimagining the Church ConferenceEarly bird registration through 7/1/2025

Early Bird: On-Site Registration

Early Bird: Online Registration

Make a Donation to Juniper Formation UCC

My Registrations

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Subtotal

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Taxes

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Total Recurring

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Special Notes

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Add

Early Bird: On-Site Registration

$175.00

Early Bird: Online Registration

$100.00

Make a Donation to Juniper Formation UCC

$0.00

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Prophetically Reimagining the Church Conference
Early bird registration through 7/1/2025

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