Individual Registration

* indicates required

Email Address *

Full Name *

Phone Number *

Address *

Address Line 2

City

State/Province/Region

Postal / Zip Code

Country

Do you attend a Church of God of Prophecy? *

Yes
No

If yes, what is the name of your church? *

Church Address *

Age *

Are you leading a group? *

Yes
No

Any idea of how you will serve? *

How did you hear about Global Serve Day? *

YM Website
Church
Social Media
Word of Mouth