Young Ladies Discipleship Onsite Registration
Registration form for the 2021 Discipleship Program for young Ladies to be held February 2 through March 1, 2021 on the Love and Purity Ministry Campus.
Applicant's Full Name
Age (as of February 2, 2021)
Address: Street, City, State, Zip Code
Applicant's Phone Number
Parent (or Guardian) Full Name(s)
The dates of the event are Feb 2 to Mar 1, 2021. What dates do you plan to arrive and depart?
Arriving Feb. 1 - Departing March 1. 2021
How did you hear about this discipleship program?
Do you have any food allergies or restrictions?
Payment of the program fee will be made by the following method:
Any other comments or questions:
I will abide by the event's rules and guidelines (refer to
for rules and guidelines)
A copy of your responses will be emailed to the address you provided.
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