Registration for 5-Day Academy September 25-30, 2022 Register below for the 2022 5 Day Academy for Spiritual Formation. Registration fee includes meals, lodging, lectures, and materials. The registration fee for double occupancy is $705 per person. Single occupancy registration is $825 per person. Virtual registration is $400 per person. No more than 35 single occupancy registrations will be accepted. Please indicate if you have a preference for roommate for double occupancy. Registration must be accompanied by a $150 per person non-refundable deposit. One-third of total registration fees are due by June 24th, one-third due by July 22nd and final payment due by August 26th. After June 24th no refunds will be made. You may pay online by credit card or with a check made out to 5 Day Academy and mailed to the NC Conference Office. If you have any questions about registration, call Ani Simpkins at 800-849-4433 or email email@example.comStatus*Is this is your first payment or are you making an additional payment for your registration? This is my first payment/registration. I want to make a payment. Name* First Last Name on tag*Please enter your name as you would like it to appear on your name tag. Phone*Please enter your phone number.Email*Please enter your email address. Enter Email Confirm Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican 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 RicoQatarRomaniaRussiaRwandaRéunionSaint 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 IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Gender* Female Male Laity/Clergy*Are you laity or clergy? Laity Clergy Church Name*Enter the name of your church. Denomination*Enter your denomination. Have you attended the academy previously?* Yes No Single / Double Room/Virtual*Please enter your preference for a single, double occupancy room or Virtual. Single Double Virtual Special Housing / Dietary NeedsPlease enter any special housing or dietary needs.5 Day Academy (Single Registration)*Please select your preference. 5 Day Academy Deposit 5 Day Academy Full Payment (Single) 5 Day Academy Virtual Number of Attendees (Single Registration)*5 Day Academy (Double Registration)*Please select your preference. 5 Day Academy Deposit 5 Day Academy Full Payment (Double) 5 Day Academy Virtual Number of Attendees (Double Registration)*Attendee InformationIf you are registering for more than one person, please enter their name (as it will appear on their name tag), phone number, email address and address below.2022 5 Day Academy (Installment)*Please enter your installment amount. How will you pay?* Online (Credit Card) Check Total $0.00 NameThis field is for validation purposes and should be left unchanged.