Kindle The Flame Application Form
26 - 28 September 2024
Personal Information
Name (as it appears on your Passport)
*
First Name
Last Name
Gender
*
Male
Female
Age
*
18-25
26-35
36-45
46-55
56-65
65+
Marital Status
*
Married
Single
Engaged
Separated
Divorced
Phone Number
*
-
Country Code
Phone Number
Email Address
*
Residential Address
*
Home Address
City
State / Province
Medical History
Blood Pressure
*
Yes
No
Diabetes
*
Yes
No
Heart Disease
*
Yes
No
Other
Are You Pregnant?
*
Yes
No
Emergency Contact Person
*
First Name
Last Name
Relationship to Emergency Contact Person
*
Husband
Father
Mother
Brother
Sister
Son
Daughter
Friend
Phone Number
*
-
Country Code
Phone Number
Email
*
example@example.com
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Church Information
Are you a member of MLFC?
*
Yes
No
If No, which church are you a member of?
Which Connection Group are you a member of?
Kindle The Flame Conference Information
Have you attended KTK before?
*
Yes
No
If Yes, which year?
If No, please state why you would like to attend the conference and why you think this is going to benefit your spiritual life
How financially prepared are you for this trip at the current moment?
*
Will you be visiting any family or friends in the USA?
*
Yes
No
Do you have any family or friends in Tulsa?
*
Yes
No
Do you have a valid passport?
*
Yes
No
Passport Number
Issue Date
/
Day
/
Month
Year
Date
Expiration Date
/
Day
/
Month
Year
Date
Do you have a valid visa for the USA?
*
Yes
No
Visa Number (8 red numbers on the visa)
Issue Date
/
Day
/
Month
Year
Date
Expiration Date
/
Day
/
Month
Year
Date
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Submit
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