MAILING ADDRESS: P.O. Box 51776, ALBUQUERQUE, NM 87181
NATIONAL OFFICE PHONE (505) 255-3233 FAX (505) 255-2282
PROGRAM OFFICE PHONE: (352) 472-1992
Email: [email protected]
WEEKEND REGISTRATION
Name of Church ______________________________________________________________________
Street Address ________________________________________________________________________
For UPS Delivery
PO Box
City, State, Zip
Church email _____________________________________ Church Phone _______________________
Senior Clergy
Name ________________________________________________________ Title __________________
Email____________________________________________
Phone ____________________________
How did you learn about Faith Encouragement Ministries/Faith Alive? ___________________________
Church General Chairperson(s)
Name _______________________________________________________________________________
Email____________________________________________ Phone ____________________________
Address______________________________________________________________________________
Follow-Up Chairperson
Name _______________________________________________________________________________
Email____________________________________________ Phone ____________________________
Address______________________________________________________________________________
List 3 Weekend Dates (Friday evening through Sunday) which will fit into your church and community
calendars. We recommend six months or more for prayer and planning. After the Coordinator is
appointed, you will be contacted to confirm the date. Please do not make a date official until then.
1st Preference ________________ 2nd Preference ________________ 3rd Preference ________________
The following information helps us in determining your Weekend Coordinator and size of Visiting Team.
Please estimate the number of people who might attend a Friday evening meal and program.
Adults ________ Teenagers (12+) __________ Children (4-11) __________ Younger (0-3) __________
1
June 2015
Average attendance of Weekend Worship Services – List Days/Times and Numbers _________________
____________________________________________________________________________________
This is our
1st
2nd
3rd+ Weekend;
Year of most recent ______________
Please describe your congregation: ages, ethnic makeup, regular activities/ meetings and attendance – for
example, prayer groups, healing services, men’s or women’s groups, etc. – that will help us to understand
your congregation better.
_____________________________________________________________________________________
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_____________________________________________________________________________________
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_____________________________________________________________________________________
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NOTE: We have a new Faith Journey program designed specifically for smaller churches, missions, and
churches in transitions. For more information, call or email the Program Office.
352-472-1992 [email protected]
REGISTRATION FEE NEW!
1. Base Fee, regardless of church size …………………………………… $ 50.00
Enclose the Base Fee with your Registration Form
2. Loose Offering the Sunday of your weekend or Donation…………….. $ TBD
The Donation is the amount determined by the Church through prayer
Send your Loose Offering or Donation within 2 weeks following your Weekend
Why the new fee structure? We do not want our fees to be the reason a church cannot host a
Faith Alive or Faith Journey program for their people. Donations, not registration fees, have
always been the primary source for us to be able to “Keep the Shop Running” year after year.
___________________________________________________________________________________
Clergy Signature
Date
2
June 2015