First Name: Last Name:

Street:

City:    State: Zip:

Email: 

Daytime Phone: - Ext. (Example: 225 222 1234 ext.1234)

Evening Phone: -

Are You Hearing Impaired?: (If "Yes", please check box at left)

Home Church:

Denomination:

Registration includes Saturday lunch, handouts, and a copy of "A Spiritual Formation Workbook" (a $12.00 value).

Comments:

Online Registration is a two-step process. Step 1 sends us your registration form. Step 2 sends your electronic check or credit card  payment.

Step 1: First, be sure to accurately complete the information requested above. Then press the "Submit" button below. You will then be transferred to the payment page for the second step.

Payment By mail  If you choose to send your payment by mail, please complete this form, print the entire page and mail the Registration Form together with your Check or Money Order Payment to the address below.

Make Checks & Money Orders payable, and mail to:

Baton Rouge RENOVARÉ
8550 United Plaza Blvd., Suite 600
Baton Rouge, LA  70809