Alive Online Registration



Please fill in the form completely or it will not submit.











Specify any special dietary needs:


Do you require a wheelchair accessible room?

YES
NO

Pick the room you want

Single $375C per person
Double $265C per person
Triple $235C per person
Quad $215C per person

**Specify who you will be sharing a room with:


In case of Emergency contact:




Method of Payment

I will be paying by cheque
I would like to pay by credit card

"Submit" will take you to the payment information page.







©2005 Evangelical Covenant Church of Canada