Please select event ticket

Total 0.00

Customer details

General

First Name

Last Name

Home Address

City

State

Zip

Please list your preferred phone number.

Home Phone Number

Mobile Phone Number

E-mail Address

Password (Create a secure password that you will use to access and manage your registration and attendee profile)

Please upload a photo.

Occupation

Philoptochos Information

Are you a National Board Voting Member, Honorary National Board Member, Metropolis Board Member, Chapter Delegate, or Observer?

What Metropolis are you from?

Please list your 4-digit chapter number. For example 0003. If you are registering as an Observer and do not have a chapter number please type 0000.

Parish Name

Parish Address

City

State

Zip Code

Is this your first time attending a Philoptochos Convention?

Yes, this is my first time attending.

No, I have attended Philoptochos Conventions before.

If not, please indicate which conventions you have attended in the past:

Emergency Information

Emergency Contact Name

Emergency Contact Phone Number

Allergy Notification:

Please indicate any allergies in the space below.

As part of our commitment to ensuring a safe and inclusive environment for all 2026 Philoptochos Convention participants, we kindly request that you provide information about any allergies you may have. Your safety is our top priority, and knowing about any allergies you may have will allow us to take necessary precautions and provide appropriate support.
Additionally, if you carry an epinephrine auto-injector (EpiPen) due to severe allergic reactions, please indicate this on the form. This information is crucial for our staff and medical personnel to be aware of, in case of an emergency.

Kindly indicate any dietary restrictions or food allergies so we may best accommodate you.

Consent Information

There may be a pre-convention meeting(s) to expedite business during the day(s) of meetings. Do you require assistance to operate Zoom?

Yes

I consent to receive all reminders and all communications relating to the 2026 Convention.

Yes

Media Release: “I grant permission to National Philoptochos to take and use photographs, video, and/or digital images of me at National Philoptochos events for use in news releases, social media, or other marketing materials.”

Yes

Important Payment Note: After clicking the Register button below, you will be directed to the payment portal to complete your payment. Please keep the tab open until the system automatically redirects you back to the registration site.

Order Summary

Subtotal Label

0.00

Discount

0.00

Booking Fee

0.00

Tax

0.00

Donation

0.00

Total

0.00

Payment