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LEADERSHIP SUMMIT REGISTRATION FORM
* Name:
* Address:
* Phone:
Cell Phone:
* Email Address:
Are you a High School or College Student?
If so, please list school name:
Do you need Financial Assistance?

A limited number of partial scholarships are available

*Denotes required fields

 
1441 Madison Avenue SE Grand Rapids, Michigan 49507
Phone: (616) 245-7791 Email Us
Worship: 8:30, 10:00, 11:30am, and 6pm