Registration Feb 23-26, 2021 Virtual Workshop: February 23-26 2021 Step 1 of 2 50% Church/Organization Name*Church/Organization Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your BeFriender Ministry Program*NewExistingRestartingHow many people are you registering?*(ie: 2, include yourself)How many are retaking BeFriender Ministry Leadership training?*(ie: 1)Please contact the BeFriender Office by email or at to 866-468-8708 register teams larger than 5. Prefix for Your Name TagRev.PastorYour Name* First Last Your Cell Phone*Your Work PhoneHome PhoneYour Email*Your Foundations for BeFriender Minsitry preparation email will be sent 7-10 days prior to the workshop. Is your preferred mailing address the church/organization address listed above?*Yes, I would prefer to use the address listed aboveNo, I would like to provide a home addressYour Home Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your current role* Pastor BeFriender Volunteer Staff Other If you selected Staff or Other as your role, please describePrefix for Team Member 2's Name TagRev.PastorTeam Member 2 Name* First Last Team Member 2 Cell PhoneTeam Member 2 Work/Home PhoneTeam Member 2 Email*Your Foundations for BeFriender Minsitry email will be sent 7-10 days prior to the workshop. Is your preferred mailing address the church address listed above or a home address?*Yes, I would like to use the church/organization addressNo, I would like to provide a home addressTeam Member 2's Home Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current role of Team Member 2* Pastor BeFriender Volunteer Staff Other If you selected Staff or Other, please explain your rolePrefix for Team Member 3's Name TagRev.PastorTeam Member 3 Name* First Last Team Member 3 Cell PhoneTeam Member 3 Work/Home PhoneTeam Member 3 Email*Your Foundations for BeFriender Ministry email will be send 7-10 days prior to the workshop. Is your preferred mailing address the church address listed above or a home address?*Yes, I would like to use the church/organization addressNo, I would like to provide a home addressTeam Member 3's Home Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current role of Team Member 3* Pastor BeFriender Volunteer Staff Other If you selected Staff or Other, please describe your rolePrefix for Team Member 4's Name TagRev.PastorTeam Member 4 Name* First Last Team Member 4 Cell PhoneTeam Member 4 Work/Home PhoneTeam Member 4 Email*Your Foundations for BeFriender Ministry email will be send 7-10 days prior to the workshop. Is your preferred mailing address the church address listed above or a home address?*Yes, I would like to use the church/organization addressNo, I will provide a home addressTeam Member 4's Home Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current role of Team Member 4* Pastor BeFriender Volunteer Staff Other If you selected Staff or Other, please describe your rolePrefix for Team Member 5's Name TagRev.PastorTeam Member 5 Name* First Last Team Member 5 Cell PhoneTeam Member 5 Work/Home PhoneTeam Member 5 Email*Your Foundations for BeFriender Ministry email will be send 7-10 days prior to the workshop. Is your preferred mailing address the church address listed above or a home address?*Yes, I would like to use the church addressNo, I will provide a home addressTeam Member 5's Home Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current role of Team Member 5* Pastor BeFriender Volunteer Staff Other If you listed Staff or Other, please explain Date Date Format: MM slash DD slash YYYY Early Registration Fee Price: $799.00 Quantity: Registration Fee Price: $849.00 Quantity: Workshop DiscountDiscount for people who have previously attended a BeFriender Foundations Workshop Price: -$300.00 Quantity: I will be paying with:My personal credit cardChurch/organization cardIf you had been given a special registration code, enter it here and click apply Total $0.00 Receipt Email*Email address where the credit card receipt should be sent, Credit Card Card Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.
