2024 MINISTERS MEETING REGISTRATION

2024 EMPOWER MINISTERS MEETING REGISTRATION

NOTE: This form will close on Monday, 10.28.24 at 1pm.
You only need to register ONCE!

If you registed for the EMPOWER Ministers Meeting that was scheduled for Monday, October 14, and Tuesday, October 15, you do NOT need to register again. Your original registration is still valid!

NOTE: If you need a hotel room for the new date(s), you will need to make new reservations with the hotel of your choice. No hotel reservations were moved to the new dates.

NOTE: If you had reservations at the Crowley Lodge, please confirm those reservations with Jean Thomas by calling 813-634-7537.
Full Name:*

First NameLast Name
Ministerial File #:*
Current Ministerial Position:*

PastorEvangelistYouth PastorMusic MinisterRetired MinisterChildren's PastorAssociate PastorCredentialed Minister
Current Ministerial Rank:*

ExhorterOrdained MinisterBishop
Are you planning on attending Ministers' Meeting, October 28 & 29, 2024?*
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Email:*
Home Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
Work Phone: (If different from church #)

Area CodePhone Number
Birthday:

MonthDayYear
Date
Picture of you and/or your family:

Cancelof
Marital Status:

MarriedSingleWidowed
Information About Your Spouse
Spouse Name:

First NameLast Name
Spouse Email:
Cell Phone:

Area CodePhone Number
Anniversary:

MonthDayYear
Date
Spouses Birthday:

MonthDayYear
Date
CHURCH INFORMATION
Local Church:*
Physical Address:

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address:

Street Address

Street Address Line 2

CityState

Zip Code
Church Phone:

Area CodePhone Number
Fax:

Area CodePhone Number
Church Website:
Name of Clerk:
To assist with hotel accommodations, the following links are provided for your convenience!

Holiday Inn and Suites - Ruskin-Sun City:
https://bit.ly/3XjAn0U

Hampton Inn and Suites - Ruskin-I-75
(make sure to select the correct dates):
https://bit.ly/3T4FkIy

Crowley Lodge - limited availability:
Contact Jean Thomas at 813-634-7537 for more information.
Should be Empty:

2024 EMPOWER MINISTERS MEETING REGISTRATION

Information About Your Spouse

CHURCH INFORMATION