WCCCC | Conference | Online Registration | Step 1 of 6


Personal Information
*Required fields are in bold
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First Name*
(bank account name)
Middle Initial
Last Name*
(bank account name)
Mailing Address*
City*
State/Province   Required in US and Canada
Zip/Postal Code   Required in US and Canada
Country*
Contact Phone* - -
Email*
Gender* M F
Status*
Financial Assistance  For full time conferees only
Spouse's Name   Required if your spouse shares your room 
Age Group*   Minimum age 17 (with parental approval) 
Attended WCCCC
Include my info in the conference directory
Other Information
Have you accepted Jesus Christ as your Lord and Savior?*
Yes, how many years? 
No
Briefly describe your most recent Christian service:
Church
  City
  Pastor
Fellowship
  City
  Coordinator
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For more information, email WCCCC, Registrar
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