Form

Encounter Registration
Is this your first Encounter God weekend?
What church ministry do you attend?*
Encounter Type:*
T-Shirt Size*
Personal Information
First & Last name*
Address*
Daytime Phone*
Evening Phone
Cell Phone
E-Mail Address*
Team Leader/Cell Group Leader
Emergency Contact Information
Emergency Contact Name*
Relationship
Daytime Phone*
Evening Phone
Cell Phone
Payment Options
Please submit your full or partial payment in the field below to begin sowing a seed for your next Encounter God Weekend! You may also contact the office to make alternative payment arrangements or pay by credit card over the phone. We accept Cash, Credit Card, Money Order or Check payable to Austin Power House Church. 512-416-1600
Registration Fee $150.00
USD Donation
Additional Comments or Questions
Should be Empty:

Encounter Registration