Whitworth Institute of Ministry

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Whitworth Institute of Ministry - Registration

For further information or questions about registration, call 509.777.3275 or e-mail oce@whitworth.edu. 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)  

Whitworth Graduation Year (if applicable)  

Please list any special dietary and/or mobility needs:  

Additional Attendees

Excluding yourself, for how many adults and children are you registering?

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

Number of Children 17 years old and younger: (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)  

Optional Shuttle Fee

Shuttle runs Monday between 9a.m. and 9p.m. and Friday morning to mid-afternoon.
If you purchase a shuttle ride, we will e-mail you closer to WIM to arrange pick-up and drop-off times.

Shuttle (required)  

Reference Information

How did you hear about the program? Please check all that apply. (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

If you are a current Whitworth faculty/staff/student, please enter your ID number:  

Do you have any additional information or comments for us?  


Total Amount Due