Be1Make1 Women's Conference Registration Only

Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

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Phone*

Emergency Contact Name, Relationship & Phone Number*

Example: John Doe, Spouse, (555) 555-5555

Conference Information

How did you find out about this event?

Please check all boxes that apply to you:*

I am currently in a discipleship relationship as a discipler (I am discipling someone).
I am currently in a discipleship relationship as a disciplee (I am being discipled).)
I am currently part of a discipleship group.
I am currently part of a bible study / small group.
I have heard about one-on-one discipleship, but I am not currently in a discipleship relationship and am excited to learn more.
I am unfamiliar with one-on-one discipleship, but I am excited to learn about it.

If you have any dietary restrictions, please list them below:

Additional requests/comments:

Agenda Information

We value your opinion! We would like for you to please help set the agenda for the day. Please answer the questions below, and once we review the input, we will set the agenda and email it back to you.

If you placed yourself on a scale for a Christian walk, out of these choices which would you choose and why: I am exploring Christianity and a relationship with Jesus, I am a new believer, I am a mature believer, or I am a disciple maker*

What personal challenges would you like to have discussed that might affect you or someone you know in your/their Christian walk?

Is there anything keeping you from making disciples? Check all that apply.

I am currently making disciples.
A lack of understanding of what it means to make a disciple.
Personal ongoing life-dominating sin.
I don’t feel qualified.
I don’t feel worthy.
I don’t have enough Bible knowledge.
If I could only.../Other (Please explain below)

If you selected "If only I could..."/Other above, please explain here:

If I were running this conference, I would make sure to cover the following topics. Or if my voice was heard, or my input would be.... regarding this conference I would like to see ___ covered.

Additional thoughts, ideas, questions, or concerns:

Payment Information

By registering for this event, I understand that I must pay for this conference by visiting the payment page.*

I understand, and will pay for my registration on the following page.
I understand, I will pay for my registration, and I will financially sponsor another woman to attend.
I understand, and will also donate an additional amount for Be1Make1 events.

Please submit your registration form below, and you will be guided to a payment portal to pay for your space!

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Be1 Make1 Women's Conference (11/01/2025) Registration Only

Contact Information

Conference Information

Agenda Information

Payment Information

Please submit your registration form below, and you will be guided to a payment portal to pay for your space!