a life-changing Christ encounter
ENCOUNTER.MN
Home
Upcoming Events
Registration
Rants & Raves
Contact Us
E
NCOUNTER.MN Attendee registration
Cost is $60 FOR SINGLE or $100 FOR MARRIED COUPLE,
HOWEVER
, SCHOLARSHIPS ARE AVAILABLE! (contact us
here
)
*
Indicates required field
Name
*
First
Last
Name you go by...
*
Phone #
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Age
*
Gender
*
Male
Female
Status
*
Single
Married
Divorced
Shirt Size
*
Small
Medium
Large
XL
2XL
3XL
Who encouraged you (sponsor) to apply?
*
Sponsor's Phone or E-mail
*
It is IMPORTANT that you provide the info in the next two fields:
Parent, Guardian or Emergency Contact
*
Emergency Contact Phone AND E-mail
*
Who is the most important person in your life right now?
*
Medical/Dietary Needs/Special Requests
*
Hobbies/Special Interests
*
Do you have a home church?
*
Pastor
*
Pastor Contact Info
*
I recognize that churches and denominations have varied views on who may partake of communion. I understand that communion will be served at the ENCOUNTER weekend and also understand that it is my decision whether or not to partake.
Sign by typing your full name in the signature field.
Electronic Signature & Date
*
Permission to use photos of me in any future promotions?
*
Yes
No
Submit