JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Horizon Prayer Ministry Registration Form: 3001.15
The information requested below is for the confidential use of Dominion world Outreach Center (DWOC) and will not be released to any other person and /or organization.All information you provide is voluntarily submitted and will be treated as confidential.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Would you like to register two or more people?
Yes
No
Type first and last name of additional persons you are registering below.
(Ex. Mary Lamb, John Baptist, Sarah Abraham, etc. All email notifications regarding this event will be sent to the primary person completing this registration.)
Your answer
Street Address, City, State, Zip Code
*
(Ex. 1234 Salvation Way, Holy City, Heaven 22888)
Your answer
Home Number
*
(Ex. 111-222-1234)
Your answer
Cell Number
*
(Ex. 111-222-1234)
Your answer
Email Address
*
(All communication regarding the event will be sent via email so be sure to check regularly.)
Your answer
Age (Minimum 13 yrs required)
*
13-19 yrs old
20-30 yrs old
31-50 yrs old
51-60 yrs old
61-70 yrs old
Over 71 yrs old
Required
Marital Status
*
Married
Single
Divorced
Separated
Required
Why do you wish to attend this ministry event?
*
Your answer
How did you hear about this ministry event or who referred you?
Your answer
Is this your first ministry event at DWOC?
*
Yes
No
Required
Are you affiliated with a church, faith community or fellowship?
*
Yes (If yes, please enter name below)
No
Required
Name of your church, faith community or fellowship (Please, include City and State.)
*
(Example: Faith Fellowship Ministries, Decatur, GA. If none, enter "N/A")
Your answer
Do you attend?
*
Regularly
Rarely
Seldom
Never
Required
Do you actively serve in ministry? If so, in what capacity?
*
(Example: Pastor, Evangelist, Minister, Prayer/Altar Ministry, etc. If not, enter "N/A")
Your answer
Do you need hotel accommodations?
(If so, someone will contact you regarding the hotel discount.)
Yes
No
Additional Comments
(Enter any questions, concerns, or any information we need to know to better serve you.)
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
