Friday, September 03, 2010 Register    Home | Contact Us | Login
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 loveFORlife Marriage Mini Conference Registration



No. of Adults registering to attend? $10/ea*
Number of meals for Friday evening? $5/ea*
Please enter your LAST name:*
Please enter your FIRST name:*
LAST name of add'l attendee (enter none if only 1 adult is being registered):*
FIRST name of add'l attendee (please leave blank if you are registering 1 adult):
Primary Phone No.*
E-mail Address:*
Alternate Phone No.
Alt Contact Info:
Please complete the applicable fields below to reserve childcare for your child(ren) ages Birth - 4th grade.  All children must be pre-registered for childcare during the mini-conference.  How many children need childcare?
1. Child's Name:
1. Child's Age?
1. Child's Grade?
2. Child's Name:
2. Child's Age?
2. Child's Grade?
3. Child's Name:
3. Child's Age?
3. Child's Grade?
4. Child's Name
4. Child's Age?
4. Child's Grade?
Biblical Community (Where do you live?)
Any additional information or questions may be entered in the space below:

When you press "submit" you will automatically be directed to our secure server for payment.  If you would prefer to pay by check you may exit the page and send a check to us at:

Pantego Bible Church
loveFORlife Marriage Mini-conference
8001 Anderson Blvd.
Fort Worth, TX 76120

or submit your payment at the LFL lobby booth on Sunday.
If you would like to pay online later, you may return to this registration form and click here to access the payment page.

If you are not redirected to the payment page, please check the required fields in the form marked with an "*" to be sure all the necessary registration data has been provided.  Thank You.
Submit
*Required

PANTEGO BIBLE CHURCH
Fort Worth, Texas
Sunday Service Times: 9 and 10:45 a.m.
(817) 274-1315 - Metro (817) 265-4139 - Toll Free 1-866-PANTEGO 		Copyright © 2010 Pantego Bible Church