*** We will send registration and event details via email, please leave accurate email address ***

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Email *
This is an image of our "Accountability Decal" for use on: Screens, Refrigerator Doors, Beer Glasses or wherever you might want some extra accountability.... Or just because they look good & having a reminder of your Encounter & Jesus near is cool!
Name *
(First Last | i.e. John Smith)
Address *
(Street, City, ST, Zip)
Phone *
Spouse or Additional Contact *
We would like to speak with your spouse, family, and/or friend(s) 2 weeks before Encounter to ask them to pray for and encourage you. Please provide one contact below. Spouse is preferred.
Spouse or Additional Phone *
Spouse or Additional Contact Email *
From what church will you gather to Launch your Encounter weekend? *
Shirt Size *
Our desire is that no man would miss out due to financial hardship.  For this reason, scholarship money is available for those in need. Would you like to discuss scholarship options? *
Who invited you? *
Person's email who invited you: *
If you don't know their email, use
IF...  you regularly attend, what church do you call home?
Do you have any significant food or medical allergies or special needs?
For example: need wheelchair access, diabetic diet, food allergies, cannot climb stairs, bottom bunk, etc.
Preferred Beverage (Select up to three)
A copy of your responses will be emailed to the address you provided.
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