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3300 NE 78th Street   •   Vancouver  WA   98665
Phone 360-574-2124   •   Toll Free 888-638-0807

Please use this form to register for a LIVE Weekend event.  Within the form below, we ask that you provide us with two weekend dates that will work for a LIVE Weekend event at your church.  Please make sure that all conflicting activities are kept clear for those weekends by all areas of the church.  Thank you!

First Name:
Last Name:
Phone Number:
Email Address:
Church Name:
Senior Pastor's Name:
Church Web Site Address:
Church Phone Number:
May we link your church web site to the online LIVE weekend schedule?
Average Sunday Morning Attendance:
Approximately number of families attending:
Address Line 1:
Address Line 2:
City:
State or Province:
Postal Code:
Country:
First Weekend Option Date(s):
Second Weekend Option Date(s):
What goals do you hope to achieve through your LIVE Weekend?
Will you send a layperson(s) to a LIVE Weekend as part of the preparation for your own LIVE Weekend?
If your answer to the above question was "yes," please provide the name(s) of the individual(s) you will be sending:
Will you send us an evaluation of your LIVE Weekend when it is completed?
After your LIVE Weekend experience, will you consider sending team members from your church to other LIVE Weekends?
May we use your comments and other church member's comments in Press Releases to One Voice! and to State Papers?
Where did you learn about this program?
Please provide us with any other details you believe may be pertinent:
Submit


LIVE Ministries is affiliated with the Kingdom Ministry Division of the Church of God (Anderson, Indiana).

"For I know the plans I have for you," declares the Lord, "plans to prosper you and not to
harm you, plans to give you a hope and a future."
Jeremiah 29:11

Church of God, Anderson, Indiana
 

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