IRELAND Registration FormONE For Life Please enable JavaScript in your browser to complete this form.InformationHis Name *FirstLastHer Name *FirstLastAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeCountry *IrelandPhone *Email *His Age Range *18-2526-3940-5960+Her Age Range *18-2526-3940-5960+His church's name and address and her Pastor's name *Her church's name and address. Her Pastor Name *Preferred Time (tick all that apply) *Monday eveningThursday eveningSaturday eveningTuesday eveningFriday eveningSunday daytimeWednesday eveningSaturday daytimeSunday eveningHow you want to attend the course? *In PersonOnlineEitherCourse Language *Choose a languagePortugueseEnglishLeaders - English *Choose a leadership coupleAlex and Gislaine SilvaAlex and Polyana GanecoLeaders - Portuguese *Choose a leadership coupleAlex and Gislaine SilvaGustavo and Ana CunhaAlex and Polyana GanecoYour Personal Details (please choose) *Yes - 2=1 may keep these contact details so we can be contacted by email (or other methods) with updates and invites to future courses/conferences and other events. Any prayer points and our attendance record will also be kept for the duration of the course only. We understand that 2=1 will not share our details with anyone else.No - 2=1 may not keep these contact details after our potential course is finished.How did you find out about this course?CommentsAgreementBy clicking REGISTER we understand that you will pay the fees as shown in the next page. If we desire to cancel your registration, we must request a refund in writing no later that one (1) week prior to the start of our assigned group. CommentRegister
