Delegates RSVP Form Please confirm your participation as a delegate at Mosaic’s 2025 Delegate Assembly. Only use this form if you are a named delegate by your congregation / CRM. For non-delegates, use this form. Name(Required) First Last Email(Required) Your Congregation / CRM(Required)Please confirm your participation:(Required) Saturday only – Nov 1 (9:00 am–4:30 pm, Assembly) – Souderton Mennonite I will not attend – unable to participate in Assembly Dietary Restrictions / Food Allergies?Language(s) you are able to converse in:(Required) English Español Bahasa Indonesia Haitian Creole Chinese Vietnamese Other language(s) not listed List other language(s):Do you need childcare?(Required) Yes No While we do not provide programming for children, childcare is available on Saturday only for children of delegates up to age 11. Childcare is provided during the worship service and delegate sessions. At all other times, children will be with their parents.You selected “Yes” for childcare. Please provide the name and age of each child.(Required)NameAge Add RemoveAre you an out-of-town delegate?(Required) Yes No Select “Yes” if you’re traveling 300+ miles, need accommodations, or will be staying overnight.Out-of-town Delegates OnlyThis field is hidden when viewing the formHow will you be participating?(Required) In person (PA) Virtual* This option is only for congregations and Conference-Related Ministries (CRMs) that are located 300 miles or more from the Mosaic office in Lansdale, PA. Only select this option once your congregation and Leadership Minister have confirmed that you are not able to travel in person to the Assembly on November 1, 2025.Will you need any travel accomodations?(Required) Yes No Out-of-town Delegates who are ready to book flights and lodging are encouraged to do so now. Visit our Assembly Travel page for details. For questions, contact Jaye Lindo.Dinner will be provided Saturday night for out-of-town delegates who are staying after the Assembly. Would you like to attend?(Required) Yes No