Registration Form

Registration type * If you are registering an invitee please make the selection, indicate your name and contact number as well as your church and zone as well as the details of the invitee)

First Name * Last Name *

Phone Number * Please enter your phone number without zero 0 and spaces (e.g., 710214314). Email Age Category * Are you a member of Christ Embassy *

Inviter Name (Name of the person who invited you) Inviter Surame (Surname of the person who invited you) Inviter Phone (Phone number of the person who invited you) Please enter his/her phone number without zero 0 and spaces (e.g., 710214314).

Church Group *

Church

Do you require transport to the venue? *

Address

Approved Bus Pickup Point

Do you require prayer?

Attendance *

Friday @4pm
Saturday @4pm
Sunday @4pm

Prayer Areas (if yes)

Health
Financial
Promotion
Jobs and Businesses
Marital challenges and desire for marriage
Children
Deliverance
Salvation
Prophetic Insight
Employment
Other

More Info

How did you hear about the programme?

POPIA Disclaimer

By submitting this form, you consent to the collection, processing, and storage of your personal information in accordance with the Protection of Personal Information Act (POPIA). Your data will be used solely for the intended purpose and will not be shared with third parties without your consent, except as required by law. We are committed to protecting your privacy and ensuring the security of your information.