State Culture of Life Conference Registration

Participant Information

Full Name(Required)

Preferred First Name

Email(Required)

Mobile Phone Number(Required)

Additional Phone Number

Diocese(Required)

Parish(Required)

Emergency Contact(Required)

Relationship

Emergency Contact Mobile Phone Number(Required)

Bethany Center Accommodations

All Bethany Center cottage rooms have a Queen-sized bed. Some cottages also have a pull-out twin bed. A total of 106 rooms are available. Room assignments will be made on a first come first serve basis. Room rate is $125/night (single or double room). Click here to learn more about Bethany Center cottage rooms.

Conference guests also qualify for a corporate rate at the nearby Residence Inn Tampa, Suncoast Parkway. Click here to get started.

What day(s) will you be attending?(Required)

Friday, Oct. 14, 2022

Saturday, Oct. 15, 2022

Friday and Saturday, Oct. 14-15, 2022

Will you be needing a room?(Required)

Yes

How many nights will you be staying?(Required)

Friday night, Oct. 14, 2022

Saturday night, Oct. 15, 2022

Friday and Saturday night, Oct. 14-15, 2022

How many are in your party?(Required)

1 person

2 people

Name of Roommate(Required)

Please indicate any special needs.

e.g.: handicapped room, first floor room, double room (queen & twin beds). Click the + to add more.

Meals

Dinner will not be provided on Friday evening.
Below is a list of restaurants near the Bethany Center:

Chicken Salad Chick
Esposito's Italian Restaurant
House of Brews
Nabruzzi Trattoria
Panini's Bar and Grill
Thai Chili Pepper
Tijuana Flats
Umami Sushi
Yummy Café

Food service on Saturday includes:

Continental Breakfast
Morning Snack Break
Hot Lunch

Please indicate if you require a gluten free or low sodium meal.(Required)

Click the + to add more.

Comments

This field is for validation purposes and should be left unchanged.