Full Name
*
First Name
Last Name
Age
*
Phone Number
*
Email
example@example.com
What church do you attend?
*
Your Pastor's Name
*
Select your District
Please Select
Mt. Calvary District
Blessed Hope District
Greater Blessing District
Good Tidings District
Macedonia District
Hosanna District
Greater Emmanuel District
Blessed Hope District
New Jeruselum District
Shirt size
*
Youth XSmall (size 2-4)
Youth Small (size 6-8)
Youth Medium (size 10-12)
Youth Large (size 14-16)
Youth XL (size 18-20)
Adult Small
Adult Medium
Adult Large
Adult x large
Adult 2x
Adult 3x
Adult 4x
Adult 5x
Jan 13th - Feb 15th $30.00 Payment Method
*
Cash
Check
$5thILWestYPWW (CASH APP)
Godsplan@live.com (ZELLE)
Feb 16th - April 1 $35.00 Payment Method
*
Cash
Check
$5thILWestYPWW (CASH APP)
Godsplan@live.com (ZELLE)
April 2 - April 26th $40.00 Payment Method
*
Cash
Check
$5thILWestYPWW (CASH APP)
Godsplan@live.com (ZELLE)
Due to t-shirt order deadline we can no longer accept t-shirt orders and your registration is now $15 which includes workshop sessions, materials, bags and your lunch buffet ticket.
Type a question
SUBMIT
Should be Empty: