Note: Online Registration closes on Fri. night (04/17) at midnight. After that time, you can register at the door.

The Luncheon is for active Healing Room Directors and staff only

Generalized Online Registration Form

Note: - You must complete both steps to register.

To Use this form, you must be sure to fill in the fields below including the event you are registering for.

Step 1: Fill out this Form and click on "Submit." You will then be taken to the Donation Screen to complete your registration.

First Name(s): Last Name:
Email Address:
Mailing Address line 1:
Mailing Address line 2:
City, State, zip/country code:
Home Church:

Are you active in Healing Room ministry:
Healing Room City (if applicable):

$35 pp/$65 married couple until April 17
$45 pp/$85 married couple after April 17
$25 pp one-day Friday registration
$25 pp one-day Saturday registration
$20 pp Sat HR members only luncheon*

$20 until full

Num Full Conference Registration Fees:
Num 1-Day Conference Registration Fees:
Total Registration Fee(s):

Num Saturday Healing Room $20 Lunches:
Total Fee for Healing Room Lunches:
Grand Total to be charged:

You are registering for the IAHR Region 1 conference with Cal & Michele ". For 1-day Registrations, indicate the day you are registering for below as well as any other comments you would like to make: