CSLC Registration - National Association of Evangelicals | National Association of Evangelicals

Name*

First Middle Last

Permanent Address (not your school address)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone*

Personal Email (non-school)*

School*

Social Security Number or ITIN if you don’t have a SS#*

Do not include dashes. Security information is necessary for clearance at some locations.

Date of Birth*

Place of Birth*

City, State

Citizenship*

Gender*

Male
Female

Rank*

Professor
Student

Major*

Minor*

Expected Graduation Year*

I prefer to be housed:*

4 to a room ($675 member school; $695 non-member school)
3 to a room ($780 member school; $800 non-member school)
2 to a room ($895 member school; $915 non-member school)
Single room ($1275 member school; $1295 non-member school)

Any ADA or dietary requirements?

Shirt Size*

Emergency Contact*

First & Last Name Relationship with the student or faculty participant Cell Phone

What do you hope to learn from the conference?*

Cancellation Policy*

I agree to the CSLC Cancellation Policy below.

All cancellation requests must be made in writing. An 85% refund will be granted when the cancellation request is received 15 business days prior to the event. A 50% refund will be granted if the request is received between 14 and 7 business days prior to the event. No refunds will be granted if the request is received with fewer than 7 business days prior to the event. Any cancellation request received fewer than 15 business days prior to the event (or after the event date has passed) due to an extenuating circumstance may be reviewed. Extenuating circumstances can be (but are not limited to) a death in the family, documented positive COVID-19 test, etc. If the event is cancelled by the NAE, registrants will be extended a full refund (100%).

Phone

This field is for validation purposes and should be left unchanged.

Popular Searches

CSLC Registration 2024