Prayer & Praise Weekend Retreat 2023
Sign in to Google to save your progress. Learn more
Email *
About you
Full Name Including Pastoral title if relevant *
Your full address *
Your contact No. *
I confirm that I will be attending *
Transport
Return transport £40 *
Required
Are you a member of Ministry of Empowerment? Note: Full membership 10% discount. Associated membership 5%     (If you would like to enquire about membership or bring your membership fees up to date, please contact us on 07432 155 916) *
Required
Please write your membership No. (If known)  
Dietary Requirement
Dietary restrictions *
Your consent
I understand that I will have to pay a non-returnable deposit of £50 to secure my place and final payment must be made before 1st March 2022.  An invoice with payment details will be sent to you shortly. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy