Word on a Mission 2026 Registration Form

WORD ON A MISSION USA 2026 REGISTRATION

TEXT: (732) 739-7376 for inquiries
FIRST NAME*
LAST NAME (SURNAME)*
EMAIL*
example@example.com
PHONE*
GENDER*

MaleFemale
INDICATE YOUR LOCAL CHURCH*

Saints Community Church, GeorgiaSaints Community Church, MinnesotaSaints Community Church, New JerseySaints Community Church, TennesseeOther
ARE YOU COMING WITH CHILDREN UNDER AGE 13? Please indicate how many
ARRIVAL DATE*

MonthDayYear
WOULD YOU RESERVE A ROOM THROUGH SAINTS COMMUNITY CHURCH (at Holiday Inn Newark Airport Hotel)?*

Room with One (1) King Bed - $135.00 per nightRoom with Two (2) Queen Beds - $135.00 per nightRoom with Two (2) Queen Beds (shared by 2 People) - $67.50 each per nightRoom with Two (2) Queen Beds (shared by 4 People) - $33.75 each per night
DO YOU WANT TO PAY FOR YOUR RESERVATION NOW AS PART OF YOUR REGISTRATION?*
For accommodation specific questions Call/Text: (510) 934-7608
ACCOMMODATION OPTIONS*
prevnext( X )
Room with One (1) King Bed
$135.00 Number of Nights



Room with Two (2) Queen Beds
$135.00 Number of Nights



Room with Two (2) Queen Beds - shared by 2 People
$67.50 Number of Nights



Room with Two (2) Queen Beds - shared by 4 People
$33.75 Number of Nights



Total

$0.00
Select the "PayPal Checkout" option to complete payment. You do not need a PayPal account - you can pay with your credit or debit card as a guest.
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

WORD ON A MISSION USA 2026 REGISTRATION