Name
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First Name
Last Name
Email Address
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Cell Phone
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(###)
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Have you previously attended a Pastoral Care Ministries School, led by Leanne Payne?
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Have you previously attended a Ministries of Pastoral Care (MPC) School or Retreat?
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What church do you attend?
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Denomination
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Your Occupation/Vocation
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Your Age
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Gender
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Please indicate any of the following books written by Leanne Payne you have read or plan to read prior to this school:
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**Lecturers assume that you will have read Restoring the Christian Soul.
Have you had any previous involvement in healing prayer ministry? If so, please tell us about any ministry you have received, or any ministry training you have participated in.
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Are you presently, or have you ever, engaged in occult practices? Exposure to occult influences will vary across cultures; some examples include astrology, new age, freemasonry, witchcraft, ancestor worship, and divination.
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If "yes", please describe that involvement to assist us in ministering to you.
Please list any medications you are taking, and for what reasons. We ask that all participants take their medications as prescribed by their physician while attending the MPC event.
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How did you hear about this retreat?
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What are your desires and purposes in attending this MPC retreat?
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Registration Fee
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Upon completion of this form, you will be taken to a another page where you can use a credit card to complete your payment.
Lunch and dinner will be provided on Friday, February 14, and lunch only served on Saturday, February 15.
Please note if you have these special dietary needs.