Name *

First Name

Last Name

Phone *

(###)

###

####

Are you involved in a City Group? *

Yes

No

How do you relate to Jesus in this season of life?

Fruitful

Dry

I am not sure

Please select two workshops to attend *

Walking in Wisdom

Biblical Womanhood

Identity in Christ

Dietary Restrictions *

None

Vegetarian

Gluten-Free

Dairy-Free

I understand that a registration fee of $20 is due via Realm or in person day of event. *

I will pay online (see payment link below)

I will pay day of the event

I will need financial assistance

I would like to provide a scholarship for another woman to attend.