Registration is $50 per person and is required for
all conference attendees ages 6 and up.

 Online Registration Form

*  Required Fields

*  Name:  
*  Address:  
*  City:  
*  State:  
*  Zip:  
Phone Number:  
*  Email:  
Home Church:  
Pastor's Name:  

 Breakfast on Saturday
$10 (attendance is open to all - Senior Pastors' Wives are Free)
The PureLife Breakfast for teen girls and single ladies is $5 per person.

I will be attending the Saturday Breakfast:  

I am a teenager or single adult and will be attending the PureLife Breakfast:  

 

 Senior Pastors' Wives information 

Are you a Senior Pastor's Wife? 
(Your registration is FREE.):  
If you are a Senior Pastor's Wife, will you be attending the 
Breakfast on Saturday?
   

    

 

 

 

 

   

    

 

 

 

 
 
 
 

 

 

 

 
 

PH: 508.580.0952
Fax: 508.580.0787
1090 West Chestnut Street Brockton, MA 02301