Register for a Program | TKP Forms

Festival of Mercy form closes Tuesday, Dec 31 2024

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Section 1

Title e.g. (Mr., Mrs., Miss, Chief, Dr., Prof, Rev, etc.)

Name * Name in full(Firstname Middlename Surname)

Telephone *

Email

Gender *

Male

Female

Country

Age Bracket *

Below 16
16 – 21
22 – 35
36 – 50
51 – 65
66 – 75
Above 75 (This info is to help us to prepare adequately for your comfort)

Are you born again *

Yes
No
Not Sure

When? *

Section 2

Contact Address

Church Affiliation & Address (i.e. place of worship)

Section 3: Center & Role

Which TLC Center are you representing?

What is your Role in your TLC Center?

Coordinator
Member of the Planning Team
Others Please specify

Number of People to Expect from your center

Have you attended TLC Leadership Retreat Before?

No
Yes

Section 4: Pioneer & Expectations

Are you planning to Pioneer a TLC Center?

No
Yes

Pioneer Where?

Pioneer In which Country?

Expectations

Information supplied will be treated with high confidentiality and will not be released to anyone. They are only meant for further communication with you.