The New Web Look of Immanuel's Church

Fresh Winds of The Spirit Registration Conference

	First name
	Last name

	Address 1
	Address 2
	City
	State
	Zip

	Phone
	email

Children's Programing (check all that apply):
Provided at all sessions except Friday daytime.

Kindergarten thru 5th Grade

I will be attending daytime sessions

I will be attending evening sessions

Number of children?

(note registration for
birth thru 4 is
full and closed)

Use this text box to supply any other important information you might want included on your form including names and ages of children attending events and daytime phone number.
Please supply names and ages of children and daytime phone

After clicking submit, you will be directed back to this page for additional registrations.
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