{"id":1628,"date":"2025-02-08T20:30:11","date_gmt":"2025-02-09T01:30:11","guid":{"rendered":"https:\/\/paprisonchaplains.org\/?page_id=1628"},"modified":"2026-04-20T20:25:13","modified_gmt":"2026-04-21T00:25:13","slug":"registration","status":"publish","type":"page","link":"https:\/\/paprisonchaplains.org\/?page_id=1628","title":{"rendered":"Registration"},"content":{"rendered":"<style>.kb-row-layout-id1628_423ba8-36 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id1628_423ba8-36 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id1628_423ba8-36 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:0px;padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-5xl, 10rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id1628_423ba8-36 > .kt-row-layout-overlay{opacity:0.20;mix-blend-mode:multiply;}.kb-row-layout-id1628_423ba8-36 .kt-row-layout-bottom-sep{height:100px;}.kb-row-layout-id1628_423ba8-36 .kt-row-layout-bottom-sep svg{width:100%;}.kb-row-layout-id1628_423ba8-36 .kt-row-layout-bottom-sep svg{fill:#ffffff!important;}@media all and (max-width: 1024px){.kb-row-layout-id1628_423ba8-36 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 1024px){.kb-row-layout-id1628_423ba8-36 .kt-row-layout-bottom-sep{height:px;}}@media all and (max-width: 1024px){.kb-row-layout-id1628_423ba8-36 .kt-row-layout-bottom-sep svg{width:%;}}@media all and (max-width: 767px){.kb-row-layout-id1628_423ba8-36 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id1628_423ba8-36 .kt-row-layout-bottom-sep{height:px;}.kb-row-layout-id1628_423ba8-36 .kt-row-layout-bottom-sep svg{width:%;}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id1628_423ba8-36 alignfull has-theme-palette3-background-color kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-layout-bottom-sep kt-row-sep-type-sltl\"><svg viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\"><path d=\"M1000,0l-1000,100l1000,0l0,-100Z\" \/><\/svg><\/div><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column1628_147603-b1 > .kt-inside-inner-col,.kadence-column1628_147603-b1 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1628_147603-b1 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1628_147603-b1 > .kt-inside-inner-col{flex-direction:column;}.kadence-column1628_147603-b1 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1628_147603-b1 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1628_147603-b1{position:relative;}.kadence-column1628_147603-b1, .kt-inside-inner-col > .kadence-column1628_147603-b1:not(.specificity){margin-top:var(--global-kb-spacing-lg, 3rem);}@media all and (max-width: 1024px){.kadence-column1628_147603-b1 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column1628_147603-b1 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1628_147603-b1 inner-column-1\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading1628_5a6083-fd, .wp-block-kadence-advancedheading.kt-adv-heading1628_5a6083-fd[data-kb-block=\"kb-adv-heading1628_5a6083-fd\"]{margin-top:var(--global-kb-spacing-xs, 1rem);margin-bottom:var(--global-kb-spacing-sm, 1.5rem);text-align:center;font-size:var(--global-kb-font-size-xl, 3rem);line-height:1.1;font-weight:700;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1628_5a6083-fd mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1628_5a6083-fd[data-kb-block=\"kb-adv-heading1628_5a6083-fd\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1628_5a6083-fd img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1628_5a6083-fd[data-kb-block=\"kb-adv-heading1628_5a6083-fd\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading1628_5a6083-fd wp-block-kadence-advancedheading has-theme-palette-9-color has-text-color\" data-kb-block=\"kb-adv-heading1628_5a6083-fd\">Register Below<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading1628_b5322e-bd, .wp-block-kadence-advancedheading.kt-adv-heading1628_b5322e-bd[data-kb-block=\"kb-adv-heading1628_b5322e-bd\"]{text-align:center;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1628_b5322e-bd mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1628_b5322e-bd[data-kb-block=\"kb-adv-heading1628_b5322e-bd\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1628_b5322e-bd img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1628_b5322e-bd[data-kb-block=\"kb-adv-heading1628_b5322e-bd\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading1628_b5322e-bd has-sm-font-size wp-block-kadence-advancedheading has-theme-palette-8-color has-text-color\" data-kb-block=\"kb-adv-heading1628_b5322e-bd\">Please make sure to have a printer ready<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id1628_5eb765-82 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id1628_5eb765-82 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id1628_5eb765-82 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id1628_5eb765-82 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id1628_5eb765-82 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id1628_5eb765-82 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id1628_5eb765-82 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column1628_684057-bd > .kt-inside-inner-col{display:flex;}.kadence-column1628_684057-bd > .kt-inside-inner-col,.kadence-column1628_684057-bd > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1628_684057-bd > .kt-inside-inner-col{row-gap:var(--global-kb-gap-md, 2rem);column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1628_684057-bd > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;align-items:center;}.kadence-column1628_684057-bd > .kt-inside-inner-col > .kb-image-is-ratio-size{align-self:stretch;}.kadence-column1628_684057-bd > .kt-inside-inner-col > .wp-block-kadence-advancedgallery{align-self:stretch;}.kadence-column1628_684057-bd > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column1628_684057-bd{align-self:flex-start;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1628_684057-bd{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1628_684057-bd > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}.kadence-column1628_684057-bd > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1628_684057-bd{position:relative;}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column1628_684057-bd{align-self:flex-start;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1628_684057-bd{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1628_684057-bd > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}}@media all and (max-width: 1024px){.kadence-column1628_684057-bd > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;align-items:center;}}@media all and (max-width: 767px){.kt-row-column-wrap > .kadence-column1628_684057-bd{align-self:flex-start;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1628_684057-bd{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1628_684057-bd > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}.kadence-column1628_684057-bd > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;align-items:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1628_684057-bd\"><div class=\"kt-inside-inner-col\"><style id=\"wpforms-css-vars-1747-block-a8baafbd-ece5-450e-8de1-e1b50f9664da\">\n\t\t\t\t#wpforms-1747.wpforms-block-a8baafbd-ece5-450e-8de1-e1b50f9664da {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-a8baafbd-ece5-450e-8de1-e1b50f9664da wpforms-render-modern\" id=\"wpforms-1747\"><form id=\"wpforms-form-1747\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1747\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1628\" data-token=\"ffbd994c0fb3f5be1d533a429e4b60a7\" data-token-time=\"1777798510\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-1747-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1747-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-1747-field_2-error\" required><label for=\"wpforms-1747-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1747-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-1747-field_2-last-error\" required><label for=\"wpforms-1747-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1747-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1747-field_3\">Correctional Institution Name(s):<\/label><input type=\"text\" id=\"wpforms-1747-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-1747-field_3-error\" ><\/div><div id=\"wpforms-1747-field_5-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Preferred Mailing Address<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1747-field_5\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][5][address1]\" aria-errormessage=\"wpforms-1747-field_5-error\" ><label for=\"wpforms-1747-field_5\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1747-field_5-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][5][address2]\" aria-errormessage=\"wpforms-1747-field_5-address2-error\" ><label for=\"wpforms-1747-field_5-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1747-field_5-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][5][city]\" aria-errormessage=\"wpforms-1747-field_5-city-error\" ><label for=\"wpforms-1747-field_5-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1747-field_5-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][5][state]\" aria-errormessage=\"wpforms-1747-field_5-state-error\" ><option class=\"placeholder\" value=\"\" selected disabled>&#8212; Select state &#8212;<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-1747-field_5-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1747-field_5-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][5][postal]\" aria-errormessage=\"wpforms-1747-field_5-postal-error\" ><label for=\"wpforms-1747-field_5-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/fieldset><\/div>\t\t<div id=\"wpforms-1747-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-1747-field_1\" >Name (Per (Per<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-1747-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-1747-field_6-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1747-field_6\">Preferred Phone<\/label><input type=\"tel\" id=\"wpforms-1747-field_6\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][6]\" aria-label=\"Preferred Phone\" aria-errormessage=\"wpforms-1747-field_6-error\" ><\/div><div id=\"wpforms-1747-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">Preferred Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-1747-field_7\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][7][primary]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1747-field_7-error\" required><label for=\"wpforms-1747-field_7\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-1747-field_7-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-1747-field_7\" name=\"wpforms[fields][7][secondary]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1747-field_7-secondary-error\" required><label for=\"wpforms-1747-field_7-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1747-field_8-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">Staying ON or OFF Campus?<\/legend><ul id=\"wpforms-1747-field_8\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1747-field_8_1\" name=\"wpforms[fields][8]\" value=\"On Campus (PPCA will Provide Accomodations)\" aria-errormessage=\"wpforms-1747-field_8_1-error\" aria-describedby=\"wpforms-1747-field_8-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_8_1\">On Campus (PPCA will Provide Accomodations)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1747-field_8_2\" name=\"wpforms[fields][8]\" value=\"Off Campus (I&#039;ll find my own Accomodations)\" aria-errormessage=\"wpforms-1747-field_8_2-error\" aria-describedby=\"wpforms-1747-field_8-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_8_2\">Off Campus (I&#8217;ll find my own Accomodations)<\/label><\/li><\/ul><div id=\"wpforms-1747-field_8-description\" class=\"wpforms-field-description\">Note: STAYING ON CAMPUS: Bongiorno Conference Center considers people not lodging on the grounds as DAY GUESTS. Each day the individual is on the grounds is a $10 fee.\nSTAYING OFF CAMPUS: There is no reimbursement for overnight lodging for DOC employees who live less than 50 miles from Bongiorno Conference Center. Persons approved by their institutions to stay overnight off-sight must still pay for Meals, Day Guest Fees and Training Costs<\/div><\/fieldset><\/div><div id=\"wpforms-1747-field_10-container\" class=\"wpforms-field wpforms-field-payment-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"10\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Off Campus Expenses (Per Person) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-1747-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1747-field_10_1\" class=\"wpforms-payment-price\" data-amount=\"10.00\" name=\"wpforms[fields][10][]\" value=\"1\" aria-errormessage=\"wpforms-1747-field_10_1-error\" aria-describedby=\"wpforms-1747-field_10-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_10_1\">Tuesday Day Guest &#8211; <span class=\"wpforms-currency-symbol\">&#036;10.00<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"checkbox\" id=\"wpforms-1747-field_10_2\" class=\"wpforms-payment-price\" data-amount=\"10.00\" name=\"wpforms[fields][10][]\" value=\"2\" aria-errormessage=\"wpforms-1747-field_10_2-error\" aria-describedby=\"wpforms-1747-field_10-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_10_2\">Wednesday Day Guest &#8211; <span class=\"wpforms-currency-symbol\">&#036;10.00<\/span><\/label><\/li><li class=\"choice-3\"><input type=\"checkbox\" id=\"wpforms-1747-field_10_3\" class=\"wpforms-payment-price\" data-amount=\"10.00\" name=\"wpforms[fields][10][]\" value=\"3\" aria-errormessage=\"wpforms-1747-field_10_3-error\" aria-describedby=\"wpforms-1747-field_10-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_10_3\">Thursday Day Guest &#8211; <span class=\"wpforms-currency-symbol\">&#036;10.00<\/span><\/label><\/li><\/ul><div id=\"wpforms-1747-field_10-description\" class=\"wpforms-field-description\">Bongiorno Conference Center considers people not lodging on the grounds as DAY GUESTS. Each day the individual is on the grounds is a $10 fee.<\/div><\/fieldset><\/div><div id=\"wpforms-1747-field_11-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"11\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">On Campus Expense (Per Person) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-1747-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-1747-field_11_1\" class=\"wpforms-payment-price\" data-amount=\"158.00\" name=\"wpforms[fields][11]\" value=\"1\" aria-errormessage=\"wpforms-1747-field_11_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_11_1\">SINGLE Occupancy lodging for Tuesday AND Wednesday nights. &#8211; <span class=\"wpforms-currency-symbol\">&#036;158.00<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-1747-field_11_2\" class=\"wpforms-payment-price\" data-amount=\"121.00\" name=\"wpforms[fields][11]\" value=\"2\" aria-errormessage=\"wpforms-1747-field_11_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_11_2\">DOUBLE Occupancy lodging for Tuesday AND Wednesday nights. &#8211; <span class=\"wpforms-currency-symbol\">&#036;121.00<\/span><\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1747-field_12-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"12\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Name of Roomate <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1747-field_12\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][12][first]\" aria-errormessage=\"wpforms-1747-field_12-error\" required><label for=\"wpforms-1747-field_12\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1747-field_12-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][12][last]\" aria-errormessage=\"wpforms-1747-field_12-last-error\" required><label for=\"wpforms-1747-field_12-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1747-field_15-container\" class=\"wpforms-field wpforms-field-payment-multiple\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Meals\/Subsistence Expense (Per Person) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-1747-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-1747-field_15_1\" class=\"wpforms-payment-price\" data-amount=\"90.00\" name=\"wpforms[fields][15]\" value=\"1\" aria-errormessage=\"wpforms-1747-field_15_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_15_1\">ALL MEALS: Tues. dinner; Wed. breakfast, lunch, Banquet, Thur. break. &#8211; <span class=\"wpforms-currency-symbol\">&#036;90.00<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-1747-field_15_2\" class=\"wpforms-payment-price\" data-amount=\"78.00\" name=\"wpforms[fields][15]\" value=\"2\" aria-errormessage=\"wpforms-1747-field_15_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_15_2\">DAY GUEST and\/or OFF-SITE LODGING MEALS: Tues. dinner; Wed. lunch &amp; Banquet (no breakfasts) &#8211; <span class=\"wpforms-currency-symbol\">&#036;78.00<\/span><\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-1747-field_15_3\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][15]\" value=\"3\" aria-errormessage=\"wpforms-1747-field_15_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_15_3\">No Meals &#8211; <span class=\"wpforms-currency-symbol\">&#036;0.00<\/span><\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1747-field_14-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Dietary Accomodations <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-1747-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1747-field_14_1\" name=\"wpforms[fields][14]\" value=\"No Accomodations Needed\" aria-errormessage=\"wpforms-1747-field_14_1-error\" aria-describedby=\"wpforms-1747-field_14-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_14_1\">No Accomodations Needed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1747-field_14_2\" name=\"wpforms[fields][14]\" value=\"Halal\" aria-errormessage=\"wpforms-1747-field_14_2-error\" aria-describedby=\"wpforms-1747-field_14-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_14_2\">Halal<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1747-field_14_3\" name=\"wpforms[fields][14]\" value=\"Vegitarian\" aria-errormessage=\"wpforms-1747-field_14_3-error\" aria-describedby=\"wpforms-1747-field_14-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_14_3\">Vegitarian<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1747-field_14_4\" name=\"wpforms[fields][14]\" value=\"Kosher\" aria-errormessage=\"wpforms-1747-field_14_4-error\" aria-describedby=\"wpforms-1747-field_14-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1747-field_14_4\">Kosher<\/label><\/li><\/ul><div id=\"wpforms-1747-field_14-description\" class=\"wpforms-field-description\">(If \u221a kosher, contact Rabbi Moishe Vogel, Aleph Institute NE)<\/div><\/fieldset><\/div><div id=\"wpforms-1747-field_16-container\" class=\"wpforms-field wpforms-field-payment-single\" data-field-id=\"16\"><label class=\"wpforms-field-label\">Training Costs <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-single-item-price-content\"><div class=\"wpforms-single-item-price wpforms-field-medium wpforms-field-required wpforms-payment-price\">Price: <span class=\"wpforms-price\">&#036;100.00<\/span><\/div><\/div><input type=\"hidden\" id=\"wpforms-1747-field_16\" class=\"wpforms-field-medium wpforms-field-required wpforms-payment-price\" data-rule-required-positive-number=\"1\" name=\"wpforms[fields][16]\" value=\"&#036;100.00\" aria-describedby=\"wpforms-1747-field_16-description\"><div id=\"wpforms-1747-field_16-description\" class=\"wpforms-field-description\">Includes expenses for meeting rooms, equipment, speaker\nfees, entertainment, gifts and PPCA Membership Dues.<\/div><\/div><div id=\"wpforms-1747-field_17-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium wpforms-summary-enabled\" data-field-id=\"17\" aria-live=\"polite\" aria-atomic=\"true\"><label class=\"wpforms-field-label\">Total<\/label><div class=\"wpforms-order-summary-container\">\n\t<table class=\"wpforms-order-summary-preview\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\" role=\"presentation\">\n\t\t<caption style=\"display: none;\">Order Summary<\/caption>\n\t\t<thead>\n\t\t\t<tr>\n\t\t\t\t<th class=\"wpforms-order-summary-item-label\" valign=\"top\">Item<\/th>\n\t\t\t\t<th class=\"wpforms-order-summary-item-quantity\" valign=\"top\">\n\t\t\t\t\t<span class=\"wpforms-order-summary-item-quantity-label-full\">Quantity<\/span>\n\t\t\t\t\t<span class=\"wpforms-order-summary-item-quantity-label-short\">Qty<\/span>\n\t\t\t\t<\/th>\n\t\t\t\t<th class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">Total<\/th>\n\t\t\t<\/tr>\n\t\t<\/thead>\n\t\t<tbody>\n\t\t\t<tr class=\"wpforms-order-summary-placeholder wpforms-order-summary-placeholder-hidden\" style=\"display: none;\">\n\t\t\t\t<td colspan=\"3\" valign=\"top\">There are no products selected.<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"wpforms-order-summary-field\" data-field=\"10\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Off Campus Expenses (Per Person) &#8211; Tuesday Day Guest<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;10.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"10\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Off Campus Expenses (Per Person) &#8211; Wednesday Day Guest<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;10.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"10\" data-choice=\"3\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Off Campus Expenses (Per Person) &#8211; Thursday Day Guest<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;10.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"11\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">On Campus Expense (Per Person) &#8211; SINGLE Occupancy lodging for Tuesday AND Wednesday nights.<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;158.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"11\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">On Campus Expense (Per Person) &#8211; DOUBLE Occupancy lodging for Tuesday AND Wednesday nights.<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;121.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"15\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Meals\/Subsistence Expense (Per Person) &#8211; ALL MEALS: Tues. dinner; Wed. breakfast, lunch, Banquet, Thur. break.<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;90.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"15\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Meals\/Subsistence Expense (Per Person) &#8211; DAY GUEST and\/or OFF-SITE LODGING MEALS: Tues. dinner; Wed. lunch &amp; Banquet (no breakfasts)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;78.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"15\" data-choice=\"3\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Meals\/Subsistence Expense (Per Person) &#8211; No Meals<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;0.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"16\" ><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Training Costs<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;100.00<\/td><\/tr><tr class=\"wpforms-order-summary-preview-total\" ><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Total<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\"><\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:10ch;\">&#036;100.00<\/td><\/tr>\t\t<\/tbody>\n\t<\/table>\n<\/div>\n<div class=\"wpforms-payment-total\" style=\"display:none\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-1747-field_17\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][17]\" value=\"0\" aria-describedby=\"wpforms-1747-field_17-description\"><div id=\"wpforms-1747-field_17-description\" class=\"wpforms-field-description\">Make Check\/Money Order payable to P.P.C.A. State Vendor # 0000563350<\/div><\/div><div id=\"wpforms-1747-field_22-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"22\"><div id=\"wpforms-1747-field_22\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-1747-field_22-error\"><p><span style=\"text-decoration:underline\"><strong>Please note:<\/strong><\/span> Due to recent changes in the tax code, the PPCA cannot accept electronic payment via Paypal for this conference.<\/p>\n<p>Mail registration form with payment to:<\/p>\n<p>PPCA c\/o Rev. Ben Dunlop<br \/>\n235 S. 12th Street<br \/>\nLebanon, PA 17042<\/p>\n<h4>Registration Due: July 11, 2025<\/h4>\n<h4>Payment Due: Friday, August 1, 2025<\/h4>\n<p><strong>Late Fee of $35 will be assessed after <del>August 1st, 2025<\/del><\/strong><\/p>\n<p><strong>UPDATED:\u00a0 Due to the Budget Impasse, Late Fees will not be assessed if payment is received before Aug 22nd.<\/strong><\/p>\n<p><span style=\"text-decoration:underline\"><strong>Business Offices:<\/strong><\/span> The check or money order must include the name of the chaplain to whom payment will be credited.<\/p>\n<p><span style=\"text-decoration:underline\"><strong>Questions?<\/strong><\/span> Contact Benjamin Dunlop\u00a0 717-274-7528 x206 or email treasurer@paprisonchaplains.org<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-1747-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-1747-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-1747-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1747\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/paprisonchaplains.org\/index.php?rest_route=\/wp\/v2\/pages\/1628\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1747\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/paprisonchaplains.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div><\/div>\n\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Register Below Please make sure to have a printer ready<\/p>\n","protected":false},"author":90199777,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"fullwidth","_kad_post_sidebar_id":"","_kad_post_content_style":"unboxed","_kad_post_vertical_padding":"hide","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"class_list":["post-1628","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/paprisonchaplains.org\/index.php?rest_route=\/wp\/v2\/pages\/1628","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/paprisonchaplains.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/paprisonchaplains.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/paprisonchaplains.org\/index.php?rest_route=\/wp\/v2\/users\/90199777"}],"replies":[{"embeddable":true,"href":"https:\/\/paprisonchaplains.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1628"}],"version-history":[{"count":5,"href":"https:\/\/paprisonchaplains.org\/index.php?rest_route=\/wp\/v2\/pages\/1628\/revisions"}],"predecessor-version":[{"id":1759,"href":"https:\/\/paprisonchaplains.org\/index.php?rest_route=\/wp\/v2\/pages\/1628\/revisions\/1759"}],"wp:attachment":[{"href":"https:\/\/paprisonchaplains.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}