2024 Gospel Conference Registration Form

2024 Gospel Encounter Conference

Registration Form
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Home Church:
I agree

Registration Fee*

Gospel Encounter Conference registration fee

The register fee covers you for both days at the Gospel Encounter Conference.

$30.00 Quantity

Childcare For Friday Night

We are offering childcare this year. It will be for children 5 years and under. The cost is $5 per child each day. Parents/guardians are responsible for including any items their child might need such as diapers and wipes. We will provide snacks. Parents are also responsible for picking up their children during the lunch break on Saturday. Please fill out the bottom portion to register your child(ren).

$5.00 Quantity

Childcare for Saturday

$5.00 Quantity

Total

$0.00

Credit Card

- Child Care
  
  We are offering childcare this year. It will be for children 5 years and under. The cost is $5 per child each day. Parents/guardians are responsible for including any items their child might need such as diapers and wipes. We will provide snacks. Parents are also responsible for picking up their children during the lunch break on Saturday.
- Child #1
  
  First NameLast Name
- Age
- Child Name #2
  
  First NameLast Name
- Age
- Child Name #3
  
  First NameLast Name
- Age
- Child Name #4
  
  First NameLast Name
- Age
- Child Name #5
  
  First NameLast Name
- Age
- Emergency Number
  Please enter a valid phone number.
- Friday Night OnlySaturday OnlyBoth Friday and Saturday
- Any allergies (Please name child and specific allergies)
- Should be Empty:

2024 Gospel Encounter Conference

Credit Card

Child Care