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 (please generate a password that will be used to log in to the live event)

Please upload a photo.

Occupation

Philoptochos Information

Are you a National Board Voting Member, Honorary National Board Member, Metropolis Board Delegate, 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

As part of our commitment to ensuring a safe and inclusive environment for all 2024 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.

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 2024 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

Please only select the number of additional delegates you are registering. For example, if you are registering one additional delegate, select '1' from the dropdown menu.

If you are not registering any additional delegates, please make sure it is set to "Select" in the dropdown menu.

Add Attendees

Packages

Payment Section

Important Payment Note: Once you click on the Register button below, you will be redirected to the payment portal to complete the payment. Once the payment has been made successfully, do not close the tab unless you are redirected back to the site. You will receive a confirmation email when your payment has been successfully made.

Registration Form