Covenant Warriors Conference Seminar Registration Form
Items marked by an asterisk (star) are required.
You can either fill this form out on line or you can
download the form
and mail it to
Covenant Warriors International Ministries
POB 393
Springtown, Tx
76082
The Deliverance Seminar requires a $25. USD donation and Healing the MPD conferences require a $50.00 USD donation for each person attending to assist in in conferences expenses, outline book, and snacks. Contact CWIM Services at info@covenantwarriors.org to make your donation.
*Full Name:
*Address:
*City:
*State/Province:
Country:
*Zip Code:
Home Phone:
Other Phone:
*Email:(if more than one please separate with commas)
Instant Messenger:(Please indicate the messenger(s) that you use with screen name.)
Web Site:
*Ministry Affiliation:
*Company:
*Church:
Counselor
Pastor
Therapist
Deliverance Minister
Layman Minster
Safe House Operator
Other Please Specify:
Have you worked with MPD/DID clients in the past?
Yes
No
Are you currently working with a MPD/DID client?
Yes
No
Are you DID?
Yes
No
*I will be attending:
Deliverance Seminar
Yes
MPD/DID Seminar
Yes
Please place other notes of your attendance here:
The Deliverance Seminar requires a $25. USD donation and Healing the MPD conferences require a $50.00 USD donation for each person attending to assist in in conferences expenses, outline book, and snacks. Contact CWIM Services at info@covenantwarriors.org to make your donation.
May HE bless and protect you on your way here. In the name of Jesus Amen and Amen.