Online Event Registration

This is a confidential questionnaire which will help us to serve you better.

    I am registering for:

          Breaking Down The Walls: September 26 - 28, 2008 (Livingston, TX)   $225

          Search and Rescue Weekend for Men: October 3-5, 2008 (Near Decatur, TX)   $99

          Men's Fraternity: Starting October 10, 2008 (Plano, TX). Meets weekly.   $15 (for workbook)

          CrossOver Weekend for Boys: December 5-7, 2008 (Livingston, TX)   $99

 

   First Name    Last Name

   Address    City    State    Zip

   Home Phone    Work/Cell Phone

   Email    Age    Marital Status   

   Emergency Contact Name    Emergency Contact Phone

 

In a few sentences, briefly describe your spiritual journey at present.

What do you hope to get out of the event you are signing up for?

 

Are there specific issues/concerns that you are hoping to address during the event?