“…equipped for every good work…” 2 Timothy 3:17

Online Registration Form

How many people would you like to register today?
About You
Please complete this section about yourself.
Name*
First Last
Age*
Gender*
Marital Status*
Dietary Restrictions/Allergies (if any)
Second Person
Name
First Last
Age
Gender
Marital Status
Dietary Restrictions/Allergies (if any)
Third Person
Name
First Last
Age
Gender
Marital Status
Dietary Restrictions/Allergies (if any)
Fourth Person
Name
First Last
Age
Gender
Marital Status
Dietary Restrictions/Allergies (if any)
Fifth Person
Name
First Last
Age
Gender
Marital Status
Dietary Restrictions/Allergies (if any)
Anything else we should know?
If you have more than five people to register, enter the additional names here. Otherwise, please continue to the next page for accommodations and payment.

Your Contact Information
Email Address*
Can we send you email updates?*
- Yes, please send me information about other events!
- No, Thanks.
Phone Number
Type of Phone
- Mobile
- Landline
Address
Mailing Address City State / Province / Region ZIP / Postal Code Country
Accommodations
Do you need accommodations for the weekend?*
The local church families graciously open their homes to those attending Weekend in the Word. We will coordinate billets as needed. If you have any special requests (maybe you were invited by someone), please let us know so that we can make it happen.
- Yes
- No
Specific requests or anything else you think we should know:
Payment Information
Method of Payment*
Please choose how you would like to pay.
Registration Fee*
$70 per person paid by cheque or e-transfer; $72 per person paid by Paypal.
Price: $ 0.00 CAD
Processing Fee
Price: $ 0.00 CAD
Coupon Code
If you have a discount or coupon code, please enter it here. Your total will reflect the applicable discount.
Total
$ 0.00 CAD

About You