Holy Spirit Encounter Registration
Friday May 17th (6pm - 9pm) - Saturday May 18th (9am - 4:30pm) Cost is $25 for youth (ages 15-22) and $40 for adults
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender:
*
Female
Male
Date of Birth:
*
Age:
*
When did you ask Jesus into your heart?
*
What is the name of your current life group leader?
*
What is your ring size?
Please Select
4
5
6
7
8
9
10
11
12
13
Is this your first encounter retreat?
*
What kind of blessing or breakthrough could we specifically be praying for you to receive at the Encounter retreat?
*
Submit
Should be Empty: