PASSION Ministries Registration

Step 1: Registration

Please fill out this form (all fields are required).

On the next page, you will be given an opportunity to pay the registration fee.
Early Bird registration is $150. After June 15, 2010 registration is $175

Which event? *	Guy's Passion 2010 (August 12-15) Girl's Passion 2010 (August 5-8)
Alumni?	Yes, I attended
Name: *
E-mail: *
Age *
Phone: *
Address: *
City: *
State/Province: *
Zip code: *
Country: *
Occupation: *
T-shirt Size: *
Relationship Status *	Dating Engaged Neither
Church *
Pastor's Name *
Pastor's Number *