Practicing Resurrection Registration Form

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Thank you for your interest in Practicing Resurrection. Please complete the registration form below.

Name *

First

Last

Email *

Phone *

My Church Name

My Church Location (City of Town)

My role at my church (Pastor, Ruling Elder, etc.)

I have the following dietary/nutrition requirements: *

Please provide the name and phone number of who we should contact in an emergency. *

Comments or Questions

Contact Us

2022 McDonald Lane
Raleigh, NC 27608