Symposium Registration

2023 Choose Life Symposium – August 1, 2023

Symposium Location: Jeff State Community College Chilton-Clanton Campus

Address: 1850 Lay Dam Rd, Clanton, AL 35045

Please submit a registration for every staff member that will be attending.

Symposium is 9 AM- 3 PM. Lunch will be provided.

Registration is $40 per person

You can also pay by check on the morning of Symposium.

Please do not mail checks. Thank you!

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Pregnancy Center Name*

T-Shirt Size*