Welcome to the Time to Talk registration page! We are very excited to have you participate in the Time to Talk campaign. We look forward to hearing from you!

* 1. Please provide us with your name

* 2. Please provide us with your contact information

* 3. What faith community do you represent?

* 4. What is the name of your place of worship?

* 5. When will you be speaking to your faith community about health and end-of-life care wishes, values and beliefs?

* 6. How many people usually attend your faith gathering?

* 7. Please tell us more about your event

* 8. Would you like free Advance Care Planning resources to offer your community?

* 9. Can we follow up with you afterwards to hear how Time to Talk went?

* 10. How did you hear about Time to Talk?

* 11. Do you have any questions or comments for us?