DISTRICT 23

Instructions for completing On-line Registration

Complete the form. (One (1) form per person. All required fields must be completed.)
You must have a valid e-mail and mobile phone number to gain access to the conference.
Registration is complete once payment is received.
Payment can be made through Givelify WV & E TN Council (specify 2026SJG in the memo) or by mail. Must be postmarked by February 7, 2026 for Early Registration and February 21, 2026 for General Registration. Once General Registration is closed; delegates can register on site at the General Registration rate.
When form is complete, Select "Submit Registration" and you will be directed to Givelify for payment.
If you choose to mail payment, please mail to:

Samuel J. Grimes Leadership Conference

Attn: Dedra Preston

1700 Gray Oaks Ln

Knoxville, TN 37932

All checks should be made payable to:

West Virginia & East Tennessee Council

Memo: SJG Conference Registration

There will be a $50.00 non-refundable fee for cancellations or no shows. Delegate will receive the registration packet and digital media of the conference.

When mailing payments, no need to send form. Please do not send cash in the mail.

Samuel J. Grimes Leadership Conference

(Pre-Registration Deadline: February 7, 2026)

Title:

Bishop

Suff. Bishop

Dist. Elder

Pastor

Elder

Minister

Other

Other (PLEASE SPECIFY):

(Conference open to Deacons, Auxiliary Leaders, Sunday School Superintendents, Teachers and Leaders)

Last Name

First Name

Address

City

State

Zip Code

Mobile Phone

Church Affiliation

Religious Organization

Registration Fee: Select an option *

$100.00 per person

$180.00 per Married Couple

$75.00 - Youth(Age 25 & under)

$60.00 - Youth One Day Registration

$50.00 - Adult One Day Registration

There will be a $50.00 Non-refundable fee for cancellations or no shows. Delegate will receive the registration packet and digital media of the conference.

Method of Payment *

Givelify (WV & E TN Council – Memo: 2026SJG)

Check (Please provide check # and date mailed below)

Payment made with Group Registration

Check #

Date Check Mailed

*Receipts will be e-mailed.

I agree to the terms & conditions outlined in the registration instructions.

This form no longer accepts submissions. You may now register on-site.

ABOUT US

The West Virginia & East Tennessee Council (WVETNC) is the 23rd Episcopal District of the international Pentecostal Assemblies of the World (P.A.W.), a Christian organization that is the oldest Apostolic Pentecostal organization in existence. The WVETNC is one of 13 districts in the eastern United States that was uniquely founded through direct involvement and leadership of longtime P.A.W. Presiding Bishop Samuel J. Grimes.

ADDRESS

304.529.1290

P.O. Box 1679
Bluefield, WV 24701

Email Council