ENCOUNTER NIGHT REGISTRATION -

ENCOUNTER NIGHT REGISTRATION

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

How did you hear about this event?

Friend
Social Media
Other

If other

How many people are planning to attend with you?

Please let us know the people attending with you.

Media Release *

By checking this box you and all those you have registered agree to the below media release terms.

We hereby authorize and give our full consent to Watermarked Ministries to copyright and/or publish any and all photographs, videotapes, film, web casts/podcasts, and any other form of visual/audio communications in which we appear (separately or together) while attending any Watermarked Ministries event. We further agree that Watermarked Ministries may transfer, use or cause to be used, these above mentioned communications for any exhibitions, public displays, publications, commercials, art and advertising purposes, and television programs without limitations or reservations.

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