Men's Encounter 2025

Name

This address will receive a confirmation email

Phone

Emergency Contact

Emergency Phone

Name of Person who referred you

Do you have any special dietary needs?

Do you have any special physical needs?

The Name and City of the church you are connected to?

Have you ever attended a 828 Men's Encounter before?

Yes No

If you answered "No" to the previous question, who referred you to Men's Encounter?

If you are younger than 18 yrs old, please include your parents name & phone number here

Check this box if you plan to pay with cash or check I am paying cash or check

(Not Required) You may add any dollar amount to the total of your registration payment to scholarship someone! Understand, we will take any extra funds from your registration & add it to the scholarship fund unless you wish to scholarship someone SPECIFIC. Please name that person(s) here. We will communicate to the recipient(s) they have been paid for. We will NOT communicate to the recipient(s) who has paid for them. Your generosity will remain anonymous on our end.

If you chose to scholarship someone specific please give us a phone number or email so we can communicate with them about this event

Payment

Please type your name below to represent your signature

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Men's Encounter 2025

When: Friday March 14th - Sunday March 16th
Where: Ridgecrest Conference Center

All Food Provided

Cost: $225 per person

Men's Encounter 2025

Description

Please Fix the Following