Registration Form For

Church Renewal Journey Weekends

 

PASTOR'S NAME CHURCH PHONE
PASTOR'S E-MAIL
NAME OF CHURCH
CHURCH ADDRESS
CITY / STATE / ZIP
ASSOCIATION NAME OF STATE CONVENTION
RESIDENT MEMBERSHIP NUMBER OF CHURCH FAMILIES
AVERAGE SUNDAY SCHOOL ATTENDANCE:
ADULTS YOUTH
CHILDREN NURSERY

SELECT THE TYPE OF WEEKEND YOU ARE REQUESTING:
LAY RENEWAL the Awakening
LAY MINISTRY the Equipping
MARKETPLACE EVANGELISM the Comminsioning
PRAYER WEEKEND the Empowering
ACTS 1:8 WEEKEND the Sending
OTHER:
PREFERRED DATE: (please allow 3 to 6 months preparation time)

1st Choice:

2nd Choice:

3rd Choice:

Consultant Preference:
Weekend Coordinator Preference:

HAS YOUR CHURCH EXPERIENCED A RENEWAL WEEKEND BEFORE?
Approx year: 
Enter the type(s) of weekends experienced:


 

 

You may also print this form to submit via mail or fax.