Registration for the 2019 AUSE Conference Welcome to registration for Affirm United/ S'affirmer Ensemble's 2019 conference, hosted by Hillhurst United Church and Affirming Connections, Calgary, AB.We emphasize that all people of all identities are welcome at this gathering; we ask that you bring a respectful spirit and open mind, and that all participants come with the belief that sexual and gender diversity is part of God’s beloved creation. Our movement believes that being gender and/ or sexually diverse is a gift, not a sin. We look forward to seeing you!Personal infoAll of the information you include in this form will be treated as confidential, and shared only as needed with the planning committee and AUSE’s treasurer, and communications and membership coordinators. I will attend* Entire Conference (Friday - Sunday) ($175) Saturday only ($145) Entire Conference: $175 Friday, July 26 4:00 pm - 9:30pm Saturday, July 27 9:00am - 9:30pm Sunday, July 28 10:00am - 2:30pm (Includes: Friday welcome BBQ, Friday night Keynote Address: "Keep Sweeping" - Rev. Emmy Kegler, Saturday Full Program, Saturday lunch, Saturday night presentation of "Care Takers" and GSA Panel, & Sunday Brunch & Learn!) Saturday Only: $145 Saturday, July 27 Only 9:00am - 4:30pm (Includes: full lunch & snacks throughout the day!) Name* First Last Preferred Name for name tag*Pronouns for name tag*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Enter Email Confirm Email Emergency contact: name and email or phone numberMy preferred language of communication is:Allergies/Dietary NeedsPhysical/mobility access needs:This is my first time at an AUSE annual conference!YesNoI am representing an Affirming Ministry: Please note that this allows you a vote at the Sunday afternoon AGM.YesNoName of Affirming MinistryI plan to attend the AGM on Sunday afternoon.YesNo2nd adult registration Yes 2nd person will attend* Entire Conference (Friday - Sunday) ($175) Saturday only ($145) 2nd person Name* First Last 2nd person Preferred Name for name tag*2nd person Pronouns for name tag*2nd person Phone*2nd person Email* Enter Email Confirm Email 2nd person Emergency contact: name and email or phone number2nd person preferred language of communication is:2nd person Physical/mobility access needs:2nd person Allergies/Dietary NeedsThis is 2nd person's first time at an AUSE annual conference!YesNo2nd person is representing an Affirming Ministry: Please note that this allows you a vote at the Sunday afternoon AGM.YesNo2nd person Name of Affirming Ministry2nd person plans to attend the AGM on Sunday afternoon.YesNo3rd adult registration Yes 3rd person will attend* Entire Conference (Friday - Sunday) ($175) Saturday only ($145) 3rd person Name* First Last 3rd person Preferred Name for name tag*3rd person Pronouns for name tag*3rd person Phone*3rd person Email* Enter Email Confirm Email 3rd person Emergency contact: name and email or phone number3rd person preferred language of communication is:3rd person Physical/mobility access needs:3rd person Allergies/Dietary NeedsThis is 3rd person's first time at an AUSE annual conference!YesNo3rd person is representing an Affirming Ministry: Please note that this allows you a vote at the Sunday afternoon AGM.YesNo3rd person Name of Affirming Ministry3rd person plans to attend the AGM on Sunday afternoon.YesNoAccommodation/ billetsCheck http://affirmunited.ause.ca/category/conference-agm/ for accommodation info at local colleges and more. Billeting note: Every effort will be made to find a host. However, as this is determined by the number of congregation members volunteering, we cannot guarantee such housing.Billets I (We) would like to Billet with someone I (We) live in the Calgary Area and can offer a billet Please let us know more about you so we can best help pair you with the proper billet*Please say more about your billet needs: including gender, whether you have accessibility and allergy needs, do you smoke, prefer a non-smoking environment, have sensitivities to fragrance, would you need a separate room, or are you open to shared room, etc. Please let us know more about you so we can best help pair you with your guest*How many beds do you have available? are they in private or shared rooms? Does your home have pets? Is your home smoking or non-smoking? Do you have a low-fragrance household? Are there any accessibility issues we need to be aware of to get into your home or to the rooms within your home,etc. Accessibility and child/ youth programming needsChildcare/Youth Program (Toilet Trained - Grade 12) is needed on the following days: Entire Conference (Fri: 5 pm - 9 pm, Sat: 9 am- 9pm, Sun: 10 am - 2:30 pm) Saturday, July 27 Only (9:00 am - 4:30 pm) Thanks to Hillhurst United Church, we are able to offer programming for children and youth!Number of Children/Youth I am registering*Child(ren) Name(s), Age(s), Allergies/Dietary Needs, Special Needs*SubsidiesThere are a certain amount of full ($0 Registration Fee) and partial ($75 Registration Fee) subsidies available. Subsidies are assessed on an ongoing basis. We thankfully accept your donations small or large to fund people in financial need, and to help offset the cost of of the conference: All donations are tax receiptable from Affirm United/ S'affirmer Ensemble.Subsidies I can offer a tax deductible donation to help people attend I would like to be considered for a subsidy Subsidy Request*What level of subsidy would help you attend this conference? (eg, full, partial). We will do our best to assist. Under Registration Selection please fill in the details as if you were paying full price. Please don't make payment until you hear from us.Tax-Deductible DonationPlease enter the amount of your donation here. This amount will be added to your total at the bottom of this form. Registration SelectionEntire Conference Adult Registration: $175 Price: $ 175.00 CAD Friday, July 26 4:00 pm - 9:00pm, Saturday, July 27 9:00am - 9:00pm, Sunday, July 28 10:00am - 2:30 pm (Includes: Friday welcome BBQ and Friday evening programming, Saturday lunch, Saturday Night Mixer & Sunday Brunch!) Quantity of Entire Conference Adult Registration*Please enter a number from 1 to 10.Saturday Only Adult Registration: $145 Price: $ 145.00 CAD Saturday, July 27 Only 9:00am - 4:30pm (Includes: full lunch & snacks throughout the day!) Quantity of Saturday Only Adult Registration*Please enter a number from 1 to 10.Entire Conference Youth/Child Registration: $75 Price: $ 75.00 CAD We leave this to your discretion; if the teen in your life is super hungry all the time, and you can afford it, we appreciate them paying the full registration fee!Quantity of Entire Conference Youth/Child Registration*Please enter a number from 1 to 10.Saturday Only Youth/Child Registration: $45 Price: $ 45.00 CAD We leave this to your discretion; if the teen in your life is super hungry all the time, and you can afford it, we appreciate them paying the adult registration fee!Quantity of Saturday Only Youth/Child Registration*Please enter a number from 1 to 10.Total $ 0.00 CAD How will you pay your registration fees?* By e-transfer to Hillhurst United Church By cheque mailed to Hillhurst United Church Please note your total and more information about the following options will be on the next page once you submit your registration information.CaptchaOnce you click submitOnce you click submit below, you will be directed to another webpage. This page may point out missing required pieces of information or it will confirm that your information has been submitted and describe an email that will be sent to you.