Clone of 2026 Prayer and Life Clinic

2026 Prayer & Life Clinic Registration

Registration Includes:

Daily Dining: Tuesday - Thursday (Sept. 8-10)
- Continental Breakfast
- Fellowship Luncheon
- Premium Evening Snack Bag
Gathering at the Table of Prayer (Sept. 11)

Registration Tote Bag
- Program Booklet w/Day Session Lecture Outlines
- Journal
- Keepsake Souvenir Pen
- Highlighter
- Sweet Treats
Full Name

Ministry Title or PrefixFirst NameLast Name
E-mail
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
What's the Name of Your Church?
How many total people are you registering?
If registering, please complete the delegate information in the section below.
Delegate Information
Delegate Information 1

First NameLast Name
Email
example@example.com
Delegate Information 2

First NameLast Name
Email
example@example.com
Delegate Information 3

First NameLast Name
Email
example@example.com
Delegate Information 4

First NameLast Name
Email
example@example.com
Delegate Information 5

First NameLast Name
Email
example@example.com
Vegetarian Meal Option
Please indicate number of vegetarian meal options needed
Early Bird Registration ($75.00 per person)
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Prayer Clinic$75.00
40th Annual Prayer & Life Clinic Registration fee per person. Early Bird Registration valid until July 20th. On July 21, registration increases to $100.

How many total people are you registering?
Item subtotal:$0.00

Total $0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.