Registration Form - Providence Community Baptist Church

online registration form

Please complete and submit the following information to register for our
Women's L.O.V.E. Ministry
2024 Annual Prayer Breakfast
"Touched, Changed, Healed by the Power of God"
(Mark 27-29 MSG)

Cost is Free, however, Donations Glady Accepted!

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Name *

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Adult (ages 18 & up) Youth (ages 12 - 17) Child (ages 6 - 11)

Home Address *

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Church Name *

Church Address *

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Zip Code

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CLICK HERE TO REGISTER