Licensed Lay Worship Leader (LLWL) Program Registration Fall 2025

Name*

First Last

Address*

Street Address Address Line 2 City Province Postal Code

Email*

Phone*

Please list any dietary considerations (i.e. vegetarian)? Please note below.*

If so, please provide details:*

Accommodations (including breakfast):*

Please note you can only make one selection from below options. Breakfasts are included with overnight accommodation.

Roommate*

Is there someone you would like to room with? Please let us know their name below (also ask them to include you as their roommate on their form).

Meal Options*

Please note you can only make one selection from below options. Breakfasts are included with overnight accommodation.

Total

$ 0.00 CAD

Method of Payment*

Please let us know how you will be making payment.

Cheque (payable to "Fundy St. Lawrence Dawning Waters" and mailed to 21 Wright Street, Sackville, NB E4L 4P8)
Email transfer to jwhittemore@united-church.ca
Payment not needed (no accommodations or meals booked)