I am registering for the*:

    Full Name*:

    Mailing Address*:

    Street/P.O. Box, Apt #, City, State, Zip Code

    Daytime Telephone Number*:

    Email Address*:

    Number in Party*:

    The number of people you are paying for.

    Names of people in your party:*

    List names of people being registered, separated by commas.

    Do you require childcare?*

    How many children will need child care?*

    The cost is $5.00 per child.

    Names of children requiring childcare:*

    List names of children, separated by commas.

    How will you be paying?*

    Are you willing to help with the seminar?*

    In what capacity?

    You may pay for your registration by clicking this link now:


    © 2010-2023 Christian Life Church, All Rights Reserved.
    Web Hosting Provided by Maine Hosting Solutions