FaithX 2021

Church of the Brethren 2021 FaithX

Please choose a FaithX Tier*

FaithX Choice*

Please specify the participant's role*

Participant Information

Name*

Gender*

Female
Male
Non-binary
I prefer not to disclose

Select a Choice*

Hispanic or Latino
White (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
Asian (Not Hispanic or Latino)
American Indian or Alaska Native (Not Hispanic or Latino)
Two or More Races (Not Hispanic or Latino)
I choose not to respond

Why do we ask? As a part of the 2007 Annual Conference paper, Separate No More, the Church of the Brethren is intentionally trying to gain an awareness of our diversity and find ways to better welcome and include all of us. Answering this question helps us do this. Thank you.

Date of Birth*

Email*

Confirm Email*

All communication from the FaithX office will be sent to the e-mail address provided above.

Address*

Address Type*

Evening Phone*

Day Phone

Cell Phone While Traveling

Find your home congregation code here

Church Code*

T-shirt Size (Adult Sizes)*

Is this your first FaithX trip?*

Yes
No

FaithX COVID-19 Guidelines

I have read and agree to follow the FaithX COVID-19 guidelines and safety information*

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