Live And Lead From Full Strength

Whether you are registering yourself, members of your church staff, or region/district groups, this page will help you establish your membership(s).

Is this registration for yourself or for your church/district group?
- I am enrolling myself only.
- I am enrolling one person at my church.
- This is an enrollment for multiple people at my church or in my district.
Your Contact Information
Name*
First Last
Email*
Phone*
Enrollee's Information
Name*
First Last
Email*
Phone*
Church Name*
Your District/Region Name
Church/District Group Administrator Contact Information
Name
First Last
Email
Phone
Church Name (If for Church Group Registration)
Your District/Region Name
Member Registration Information
Please complete the following information for each new member. To add additional people, click the after each individual's info row below.
First Name Last Name Email Mobile Position
Payment Details
How would you prefer to pay?
- Credit Card
- Send Me An Invoice
Enter the quantity of members listed above. Quantity
Enter a 1 if only enrolling yourself.
Price: $109.00
Total
$0.00
Credit Card
Card Details
Cardholder Name
Card Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Where should we send the invoice?
Street Address Address Line 2 City State ZIP Code
Is this address the same as the church or district office address?
- Yes
- No
Church Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

First Name	Last Name	Email	Mobile	Position

Your Contact Information