Sarasota Church The Living Sanctuary Your Choice of Sarasota Churches Non-Denominational Christian Church Bible based Fellowship
Participant Registration Form
* Required Field
*Participant Name:
Female Male
* Choose Your Encounter Date (Please ensure you have selected the correct date)
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*Street Address: *City: *St: *Zip:
Email Address:
*Home Tel# (include area code): Cell# (include area code):
Tell Us About Yourself ...
*Currently: Married Single Widowed Divorced *Your Age: How Many Children:
Spouse's Name:
What Church Do You Attend:
Who Referred You:
Please tell us of any special needs, including lodging, medical and meals:
Emergency Contact Information (just in case!)
*Emergency Contact Person:
*Relationship: *Phone# (include area code):
How Will You Pay?
*Please select your payment option:
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A $40 deposit is due when you register. The full balance is due two weeks before the retreat date. If you are paying by check, please make your check payable to "The Living Sanctuary Church". All payments are non-refundable and non-transferable, as reservations are made immediately upon receipt of registration form. If you have a question, you can contact us by phone at 941-365-LIFE or by email by clicking <here>.
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*Today's Date (mm/dd/yy):
If the applicant is 18 or younger, you must have your parent's or guardian's approval to attend an Encounter weekend ... please enter your initials to confirm you have done so:
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