Leadership Training Church Registration

Leadership Training Church Registration

Please fill out the form below to register your church group for the upcoming leadership training.
Full Name of the Church Representative*

First NameLast Name
Email Address of the Church Representative*
example@example.com
Church Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Number of People Attending*
Contact Phone Number

Area CodePhone Number
How many will be attending the dinner?
Please send an email to exmorebaptistchurch@gmail.com with a list of all names and a list of each name with their breakout session selections.
Should be Empty: