SUMMER RETREAT REGISTRATION

kindly provide accurate details to help us plan adequately for you

Name *

First

Last

SEX *

Birthday *//

City *

If other, please specify

Phone Number *

Email *

Means Of Transport *

This is to help us track and organize transportation on day of arrival

Are you a student? *

Is this your First PRAYER CONFERENCE(Summer Retreat)? *

Upload photo *

Click or drag a file to this area to upload.

For Retreat Badges/Tags

PLEASE PROVIDE YOUR FULL NAME, NUMBER, EMAIL AND CITY ON THE PAYMENT PAGE AFTER CLICKING THE BUTTON.