EMPOWER Registration 2017 - 2018

EMPOWER IS FULL, PLEASE EMAIL OFFICE@METROCMA.ORG or call Becky at 973-412-7025x208 to be placed on the waiting list. You will be notified immediately if a spot opens up.

EMPOWER ENGAGE AND PROCLAIM REGISTRATION IS STILL OPEN.

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Home Church *

List any prior women's ministry involvement: *

Upload your photo *

May we use your photo in promotional material? *

Yes

No

May we include your name/email in the Empower Directory given to Empower participants? *

Yes

No

Have you previously completed the Empower program? *

Empower Engage* and Empower Proclaim* Registration Fee *PLEASE NOTE: CLASS TIMES HAVE CHANGED, Engage 9am-12pm, Proclaim 1pm-4pm. *

Empower Engage ($300.00) 9am-12pm

Empower Proclaim ($300.00) 1pm-4pm

Empower Engage Payment Plan ($75) payments due on 15th of each month Aug.-Nov.

Empower Proclaim Payment Plan ($75) payments due on 15th of each month Aug.-Nov.

READ ACKNOWLEDGEMENT BELOW. If you accept acknowledgement, please enter your name. *

I acknowledge that the Empower programs are a full year commitment, with all fees due by Nov. 15, 2017, and that no refunds will be given.

I understand that Empower classes will be livestreamed and I give permission to appear on camera as a class participant.

Current Total: 🛈

$0.00