*First Name:
 
*Last Name:
 
*Address:
  
 
*City/State/Zip:
   ,
*E-mail Address:
 
*Phone:
  
Church/Organization:
  
Senior Pastor:
 
Church Inception Date:
 
Weekly Attendance:
 
    * inidicates required fields.

ADDITIONAL GUESTS
   
First Name:
 
Last Name:
 
E-mail Address:
 
First Name:
 
Last Name:
 
E-mail Address:
 
First Name:
 
Last Name:
 
E-mail Address:
 
First Name:
 
Last Name:
 
E-mail Address:
 
First Name:
 
Last Name:
 
E-mail Address:
 

RATES
 
1-2 People
3-5 People
6+
     
Walk-in
  
$299
$289
$269
Pre-registration
  
$269
$229
$199
Early Bird Rate
  
$229
$199
$189
Super Early Bird Rate
  
$149
$149
$149
    Note: All "Super Early Bird" seats are sold out.
BREAKOUT SESSIONS
  Please select the Breakout Sessions you would like to attend from the lists below. To view a listing of topics available at each Breakout Session, click here.
Registrant:
 
   
Breakout 1:
 
Breakout 2:
  
Breakout 3:
  
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Breakout 2:
  
Breakout 3:
  
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Breakout 2:
  
Breakout 3:
  
Registrant:
 
   
Breakout 1:
 
Breakout 2:
  
Breakout 3:
  
Registrant:
 
   
Breakout 1:
 
Breakout 2:
  
Breakout 3:
  
Registrant:
 
   
Breakout 1:
 
Breakout 2:
  
Breakout 3: