Diverse Voices: Building Bridges
OMC Educational Conference 2011
REGISTRATION FORM
NAME
POSITION
FACILITY
ADDRESS
PHONE
EMAIL
FULL CONFERENCE
Includes 1 night accommodation on Monday September 26, registration fee, all
meals and breaks
*Does not include Sunday dinner
Double Accommodation
Roommate:
Single Accommodation
Includes 2 nights accommodation on Sunday Sept 25 and Monday Sept 26,
registration fee, all meals and breaks
*Does not include Sunday dinner
Double Accommodation
Roommate:
Single Accommodation
Includes lunch and breaks
FULL CONFERENCE
Plus: Sunday Night
DAY ONLY
REGISTRATION
Monday September 26
Tuesday September 27
Circle choice
$225
$270
$295
$365
$75
$75
PLEASE NOTE:

Let us know if you have any special dietary requirements in advance and we will do our best to accommodate you.
Kosher and Halal meals are not offered but please indicate if you would like more vegetarian or fish.

If you would like double accommodations and do not indicate a roommate you will be assigned.

A separate registration is required for each person in Double accommodation.
MY FOUR WORKSHOP CHOICES: (indicate one for each session)
SESSION 1
SESSION 2
SESSION 3
SESSION 4
A
A
A
A
Positive Spirituality
Ancient Patterns
Spiritual Needs of Youth
Partnering with Nurses
B
B
B
B
Praying with Others
Becoming the Bridge
Bridge Building Chaplain
Victims with Diverse Voices
PAYMENT: Cheque payable to Ontario Multifaith Council or Credit Card
VISA:
MasterCard:
Exp Date:
Exp. Date:
Cardholder Name:
Cardholder Name:
SEND Payment and this Registration form by SEPTEMBER 1 ST to:
OMC Regional Office, 4068 Bath Road, Kingston, ON K7M 4Y4 or Fax (613) 384-4798
QUESTIONS? Contact -Carol Hinton, OMC Admin Assistant
(613) 384-1444 or chinton@omc.ca
C
C
C
C
Challenges
Building Relationships
Challenges of NILOS
Wamchcooshii Chaplain