Ministries Conference Registration Form 2022

MINISTRIES CONFERENCE REGISTRATION

Event: January 13th-15th, 2022 | Contact us at (501) 624-1952 or shawn@cmchurch.com
Full Name *

First Name Last Name
E-mail *
Mobile Number *

Area Code Phone Number
Emergency Contact Number *

Area Code Phone Number
Church You Attend? *
Is this your first Ministries Conference to attend? *

Yes No
Specify your church leadership status? *

Full Time Part Time Volunteer
What position do you serve?
Senior or Lead Pastor's name?
Are you registering as an individual or group? *

Individual Group
If a group, how many? *
Please verify that you are human *
Should be Empty:

MINISTRIES CONFERENCE REGISTRATION