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August 2021 Server Registration
February 2020 - Wichita Men's Encounter Server Registration
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First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Address Line One
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Your answer
Address Line Two
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
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Your answer
Launch Point (Church) You Are Serving With?
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Choose
Countryside Christian (CCC)
First MB (FMB)
Riverlawn (RCC)
The Well (Derby)
Revive Church (KC)
Lamar, CO
Pathway
Interested in doing a teaching or testimony?
*
If Interested, please contact Andrew Schwarz at
aschwarz@countrysidecc.com
, for more information.
Choose
Teaching
Testimony
Open and Available for Either
Not Interested
Server team preference
*
Choose
Administration
Facilities (Cross, Snacks, Cabins, Ministry Time & Tabernacle)
Operations
Prayer
Foodies (Cafeteria)
Bathroom Cleanup Crew (Jesus would choose this Option)
Put me where you need me
Teachings & Testimonies (Review, Train & Equip Before Encounter)
Any dietary restrictions or health concerns?
Your answer
Any comments or Questions?
Your answer
Shirt Size
XS
S
M
L
XL
2XL
3XL
4XL
Other:
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Payment Options (Encounter is $120.00)
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Choose
Launch Point (Defined by LP)
ME Check-in/Registration (Cash or Check)
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