Whitworth Institute of Ministry


Whitworth Home Page > Whitworth Institute of Ministry >

Whitworth Institute of Ministry - Registration

For further information or questions about registration, call 509.777.3275 or e-mail oce@whitworth.edu. Please review our Cost page for all deadline information. Please note: You must complete all of the required information and pay in full using a credit/debit card or an e-check when submitting your registration.

Primary Registrant

Legal First Name (required)  


Preferred First Name (for name tag, etc.)  


Last Name (required)  


Church or Ministry Position (if applicable)  


Mailing Address Line 1 (required)  


Mailing Address Line 2  


Mailing City (required)  


Mailing State/Province (required)  


Mailing ZIP/Postal Code (required)  


Mailing Country (required)  


Preferred Phone (required)  


Preferred E-mail (required)  


Are you a current Whitworth employee or student? (required)  

Please list any special dietary and/or mobility needs:  


Track Selection (required)  

Please select the track you will attend while at WIM. For more information about tracks and our leaders, please visit our website here.







Additional Attendees

Excluding yourself, for how many other attendees are you registering?

Number of Adults 18 years and older, other than yourself: (required)  

Number of Teenagers 14 - 17 years old (9th - 12th grade): (required)  

Number of Children 13 years old and younger (Infant - 8th grade): (required)  

Church and/or Ministry Information

Church and/or Ministry Name  


Church and/or Ministry City  


Church and/or Ministry State  


Church and/or Ministry E-mail Address  


Number of Attendees at Church and/or Ministry  


Program Information

Program Selection (required)  


Lodging Information

Lodging (required)  


Scholarship Aid

Please select one (required)  



Reference Information

How did you hear about the program? (required)  


Consent Information

May we include your contact information and that of each additional adult attendee in the WIM participant directory? (required)  

May we use your photo and that of each additional adult attendee in publicity material? (required)  

Additional Information and Comments

Do you have any additional information or comments for us?  


Payment

Total Amount Due
$0.00