Conference RegistrationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 7 You You Total Welcome to the 16th Annual Family Life Conference Registration! Please fill in your personal details so we can prepare for your attendance. You’ve gotta be ready to “Catch the Momentum & Run with the Vision!” Let us know who you are so we can connect with you during this powerful prophetic experience. Section 1: Personal InformationName *FirstLastEmail *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *NextSection 2: How Many Are You Registering?Time is running out to register! Please note that each registration now includes an additional $30 fee, bringing the total to $180 plus a 3.1% online processing fee. Secure your spot today! Are you coming with friends or family? This is a moment to experience the Unmatched Power and Presence of God together! Select the total number of people you’re registering, including yourself, and let us know who’s joining you to “Catch It, Caught It, & Run With It!” How many adults are you registering? (Ages 17 & Up) *Just Me - $185.58Plus 1 - $371.16Plus 2 - $556.74Plus 3 - $742.32Plus 4 - $927.90Plus 5 - $1,113.48Regular registration are for people 17yrs and up Includes Processing Fee of 3.1%Are You Registering Children Up to Age 12? *None12345There is a processing fee of 3.1%Are You Registering "Teens" Ages 13 to 16? *None12345There is processing fee of 3.1%NextSection 3: Additional Attendee NamesIf you’re registering additional people, please provide their full names. Each person costs $185.58 (includes a 3.1% processing fee). Ensure their names are accurate, as we want everyone to feel welcomed and accounted for during these 3 unforgettable nights of Prophetic Action! Plus 1 *FirstLastPlus 2 *FirstLastPlus 3 *FirstLastPlus 4 *FirstLastPlus 5 *FirstLast1st Child's Name *FirstLast2nd Child's Name *FirstLast3rd Child's Name *FirstLast4th Child's Name *FirstLast5th Child's Name *FirstLast6th Child's Name *FirstLast1st Teen's Name *FirstLast2nd Teen's Name *FirstLast3rd Teen's Name *FirstLast4th Teen's Name *FirstLast5th Teen's Name *FirstLastTotal$0.00NextMeal Preference Please select Meal preference for each attendee Your Meal ChoiceSalmonChickenVegetarianPlus 1 Meal ChoiceSalmonChickenVegetarianPlus 2 Meal ChoiceSalmonChickenVegetarianPlus 3 Meal Choice SalmonChickenVegetarianPlus 4 Meal Choice SalmonChickenVegetarianPlus 5 Meal Choice SalmonChickenVegetarian1st Child's MealSalmonChickenVegetarian2nd Child's Meal SalmonChickenVegetarian3rd Child's Meal SalmonChickenVegetarian4th Child's Meal SalmonChickenVegetarian5th Child's Meal SalmonChickenVegetarian6th Child's Meal SalmonChickenVegetarian1st Teen's MealSalmonChickenVegetarian2nd Teen's Meal SalmonChickenVegetarian3rd Teen's MealSalmonChickenVegetarian4th Teen's Meal SalmonChickenVegetarian5th Teen's Meal SalmonChickenVegetarianNextSection 4: Agreement to TermsTerms and Conditions Registration Details: I confirm that I am registering myself and, where applicable, the additional attendees listed. All names provided are accurate for event registration purposes. Payment Terms: All payments are non-refundable and cover admission to all event sessions across the three locations. Event Conduct and Behavior: This conference is a faith-based, family-friendly event. To ensure an uplifting and enjoyable experience for all attendees: Disruptive Behavior includes but is not limited to: Excessive or loud talking during sessions. Interrupting speakers, performers, or event activities. Aggressive, inappropriate, or disrespectful language or actions. Any behavior deemed offensive, unsafe, or distracting to others. Attendees exhibiting such behavior may be kindly asked to leave without a refund. Event Participation: This conference includes 3 unique sessions: Night 1 (Take Action): A time to engage in prophetic action and connection. Night 2 (It’s A Different Catch): Embrace a deeper experience of the move of God. Day 3 (Now That You’ve Got It): Learn to apply what you’ve received into your life journey. Attendees are encouraged to fully participate and come with an open heart and mind. Billing Address Verification: I understand that my billing address must match the one associated with my credit/debit card for successful payment processing. Processing Fee: A 3.1% processing fee is applied to all payments to cover administrative and payment handling costs. This fee is non-refundable. Photography and Videography: By attending, I consent to be photographed or recorded during the event for promotional purposes. Liability Waiver: The event organizers, hosts, and affiliates are not responsible for personal injury, loss, or damage to property during the event. Attendees participate at their own risk. Event Changes: The organizers reserve the right to modify the event schedule, locations, or lineup if necessary. Updates will be communicated promptly. Agreement to Terms and Conditions. * By checking this box, I confirm that I have read, understood, and agree to the Terms and Conditions, including payment terms, event conduct, and liability waivers. PreviousNextSection 5: Total Cost and SummaryHere’s a summary of your registration: Review the details carefully, and let’s get ready to Catch the Momentum, Caught It, and Run with It! Updating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.Stripe Credit Card *Total$0.00PreviousNextSection 6: Submit Your Registration You’re almost there! 🎉 Click Submit to finalize your registration for the 16th Annual Family Life Conference across 3 Locations. Prepare your heart and spirit for 3 prophetic nights: 📍 Night 1: Take Action: Catch It! 📍 Night 2: It’s A Different Catch: Caught It! 📍 Day 3: Now That You’ve Caught It: Run With It! See you soon, as we bask in the Dew of Heaven through the Prophetic Mantle of Prophetess Dr. Charmane Gayle-Peart. 🙌🔥 PreviousSubmit Registration
