2023 Gospel Encounter Conference
Registration Form
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*
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example@example.com
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*
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*
Street Address
Street Address Line 2
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Name of Home Church:
Donation
We are asking for a donation of $10 per person to help cover the cost of the event. After you submit this form, you will be redirected to our giving website. If you are unable to make a contribution at this time, then we still would love for you to attend.
By checking the box below, I agree to sign up to receive newsletters, updates on Gospel Encounter Ministries.
I agree
SUBMIT
Childcare form
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 Name
Last Name
Age
Child Name #2
First Name
Last Name
Age
Child Name #3
First Name
Last Name
Age
Child Name #4
First Name
Last Name
Age
Child Name #5
First Name
Last Name
Age
Emergency Number
Please enter a valid phone number.
Which day will the child(ren) be present?
Friday Night Only
Saturday Only
Both Friday and Saturday
Any allergies (Please name child and specific allergies)
There will be a minimum charge of $5 per child per day. Please enter in the amount that you plan on paying. After you click submit at the end of the form, you will be redirected to our giving page.
ex. two children for both days of the conference. $5 per child per day would be $20 total for both children.
Should be Empty: