Church Renewal Weekend Registration Form

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Registration for Church Renewal Weekend Oct 25 - 28, 2019

If you are a part of a group, register on your group's page. Or make a group.

Or you may sign up for a different retreat.

Contact

First name:

Last name:

Email:

Phone:

Address

Mailing address:

City:

Country:

Province/State:

Postal Code:

Personal

Age:

Gender: Male Female

Marital status:

Do you need translation? No Yes

Name of home church:

Size of church: (weekly attendance)

Denomination:

Are you currently in Church Renewal mentoring? Yes No

Position in Church/Org./Denomination:

Have you attended a Set Free! retreat? Yes No

Have you attended a Hearing God Seminar? Yes No

Meal Options Regular Meal (nut free)

Allergy Meal (guaranteed nut, gluten, and dairy free)

Referral

How did you hear about Church Renewal?

Who referred you?

Name:

Email:

Phone:

Cost

Is spouse attending too? Yes No

Billet home requested? Yes No

(Billet homes are available Friday night to Monday morning; if you are coming earlier than Friday or staying past Monday, please make other accommodation arrangements) PLEASE NOTE: The deadline for billet requests is 1 month prior to the Church Renewal Weekend.