EPHPHATHA REGISTRATION

YOUR ENCOUNTER
STARTS HERE.

Complete the form below to register for Light Encounter Experience.

Personal details

Let us know who you are.

First name * Surname * Phone / WhatsApp number * Email address * Gender *

Tell us where you worship and where you're coming from.

Fellowship / Church * City / Location *

School * Department *

Help us prepare for your participation.

How did you hear about the program? * What are your expectations for the encounter? * Prayer request OPTIONAL

Let us know how you may be available to serve.

Which team would you like to serve in? OPTIONAL

Are you available for pre-program meetings and rehearsals? *

Yes, I'm availableNo, I'm unavailable

Fields marked * are required. Your prayer request and serving-team preference are optional.