Women Equipped: Conference Registration Form
Date: March 12, 2021  8:30AM - 4:30PM
Address: Modena Villa, Cove Bay, West End
Contact: 583-4646 or upliftministriesaxa@gmail.com
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Name *
Email *
Current role within your organization. *
Select your option for Breakout Session 1 *
Required
Select your option for Breakout Session 2 *
Required
Select your option for Breakout Session 3 *
Required
Select your option for Breakout Session 4 *
Required
Dietary restrictions *
I understand that I will have to pay a US$30 registration fee upon attendance. *
Required
There is an optional, end-of-day pampering/massage session which will incur an additional charge of up to US$15. Do you wish to participate? *
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