Name ____________________________________________
Address___________________________________________
__________________________________________________
Email _____________________________________________
Phone __________________________________________
Church/Ministry ___________________________________
Number attending __________________________________
(If you are registering for a group, please enclose a list of the names of those attending with you.)
Total Amount enclosed $_________________________
Print this page and Mail Registration along with $18 per person to:
Passionate Heart Ministries
9030 Hunters Creek St.
Highlands Ranch, CO 80126
Checks made Payable to Passionate Heart Ministries