WOMEN'S ENCOUNTER ATTENDEE REGISTRATION - April 26-28, 2019
This Encounter is hosted by Crossroads Christian Church of Hutchinson, Kansas

Cost for the Encounter is $125 per person.

Write checks to "Women's Encounter" and mail to:
Crossroads Christian Church
4310 N. Monroe
Hutchinson, Kansas 67502

You will receive a confirmation of your registration by e-mail.

First Name *
Your answer
Last Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Postal Code (Zip) *
Your answer
Your Phone Number *
Your answer
Your E-mail Address *
(Note: A work email address may route Encounter mail to a "junk" or "spam" file.)
Your answer
Attended before? *
Have you previously attended a Women's Encounter?
Emergency Contact (First and last name please) *
We would like to contact your spouse (or other family member or friend) before your Encounter weekend to ask them to pray for and encourage you. This is also an emergency contact.
Your answer
Contact Phone Number *
Your answer
Contact E-mail *
Your answer
Who invited you or how did you hear about Women's Encounter?
Your answer
Is there someone you would like to room with? (leave blank if not)
Your answer
Can you climb stairs? *
Can you use a top bunk? *
Do you have any other health or dietary concerns? *
Example: physical limitations, diabetic, dietary restrictions, etc.
Your answer
What kind of sub-sandwich would you prefer? *
Age group *
Home Church
Include city if not in Hutchinson. Leave blank if none.
Your answer
Questions or comments about the Encounter?
Your answer
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