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Fast 2019 Registration
Your Name (required)
Your Surname (required)
Cell Number (required)
Your Email (required)
I will be fasting: (required)
3 - 10 March10 - 17 March17 - 24 March21 Days
List some things you will be fasting for.
Your Name (leave blank if you want to remain anonymous)
Your Email (leave blank if you want to remain anonymous)
Your Prayer Request
YES! I will love to serve...
Full Gospel BandBlast KidsCREW Youth MovementOutreachMaintenanceVideoPhotographyTechDesignSocial MediaHospitality20 SomethingsEventsGreeters and GatesHospital MinistryFundsCoffee CaféConnect CubeMen's MinistryWomen's MinistrySmall GroupsPastoral
Date of Birth
Place of Birth
Father's Full Name
Mother's Full Name
Father's Cell Number
Mother's Cell Number
Full Name & Surname of Spouse
When did you accept Christ?
When did you get water baptized?
When were you baptized in the Holy Spirit?
Were you a member of a church?
Names of Children & Dates of Birth
Photo of Yourself (.jpg and .jpeg only, no larger than 5mb)
Photo of your Spouse (.jpg and .jpeg only, no larger than 5mb)