Women of Royalty Fellowship Registration

Dr. Yolanda Watt, Chairman - 708-205-3605

Covering Timothy Daniels, 662-614-3201

Chairman of the Board of the Central Mississippi Pastors Fellowship

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Birthday

Date

City/Location

Preferred Contact Method

Your business name if you have one.

Description of your business.

Job Title

I am interested in

I would like to serve in or learn more about these roles

Age Group

How did you hear about Women of Royalty?

What are you hoping to gain from joining Women of Royalty?

Areas where you’d like to grow

Availability for meetings/events

Preferred way to serve in community projects

Short bio about yourself high lighting your accomplishments and education for flyers and website presentation.

Best time to contact you

Please email your favorite picture to pfwomenofroyalty@gmail.com and upload it below.

Name of the person that referred you or how did you hear about us?

Are you willing to sign a confidentially disclosure form?

I consent to be contacted by Women of Royalty regarding my registration and participation.

Signature