Name: Encounter Church- Sean & Christa- CA
Start: 2023-8-27T19:00+0:00
End: 2023-8-27T15:00+0:00

Prophetic Masterclass Registration (Livestream)

After you fill out the form, you will be prompted to complete payment through a secure Stripe payment gateway. Once your payment is successful, you will receive a confirmation email.

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Registration Cost(Required)

Do You Have a Coupon Code?

Total

Prophetic Masterclass Registration

After you fill out the form, you will be prompted to complete payment through a secure Stripe payment gateway. Once your payment is successful, you will receive a confirmation email.

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Registration Cost(Required)

Name of Person Accompanying You(Required)

First Last

Name of 2nd Person Accompanying You(Required)

First Last

Name of 3rd Person Accompanying You(Required)

First Last

Name of 4th Person Accompanying You(Required)

First Last

Name of 5th Person Accompanying You(Required)

First Last

Name of 6th Person Accompanying You(Required)

First Last

Name of 7th Person Accompanying You(Required)

First Last

Name of 8th Person Accompanying You(Required)

First Last

Name of 9th Person Accompanying You(Required)

First Last

Name of 10th Person Accompanying You(Required)

First Last

Name of 11th Person Accompanying You(Required)

First Last

Name of 12th Person Accompanying You(Required)

First Last

Name of 13th Person Accompanying You(Required)

First Last

Name of 14th Person Accompanying You(Required)

First Last

Name of 15th Person Accompanying You(Required)

First Last

Name of 16th Person Accompanying You(Required)

First Last

Name of 17th Person Accompanying You(Required)

First Last

Name of 18th Person Accompanying You(Required)

First Last

Name of 19th Person Accompanying You(Required)

First Last

Name of 20th Person Accompanying You(Required)

First Last

Name of 21st Person Accompanying You(Required)

First Last

Name of 22nd Person Accompanying You(Required)

First Last

Name of 23rd Person Accompanying You(Required)

First Last

Name of 24th Person Accompanying You(Required)

First Last

Name of 25th Person Accompanying You(Required)

First Last

Name of 26th Person Accompanying You(Required)

First Last

Name of 27th Person Accompanying You(Required)

First Last

Name of 28th Person Accompanying You(Required)

First Last

Name of 29th Person Accompanying You(Required)

First Last

Name of 30th Person Accompanying You(Required)

First Last

Name of 31st Person Accompanying You(Required)

First Last

Name of 32nd Person Accompanying You(Required)

First Last

Name of 33rd Person Accompanying You(Required)

First Last

Name of 34th Person Accompanying You(Required)

First Last

Name of 35th Person Accompanying You(Required)

First Last

Name of 36th Person Accompanying You(Required)

First Last

Name of 37th Person Accompanying You(Required)

First Last

Name of 38th Person Accompanying You(Required)

First Last

Name of 39th Person Accompanying You(Required)

First Last

Name of 40th Person Accompanying You(Required)

First Last

Name of 41st Person Accompanying You(Required)

First Last

Name of 42nd Person Accompanying You(Required)

First Last

Name of 43rd Person Accompanying You(Required)

First Last

Name of 44th Person Accompanying You(Required)

First Last

Name of 45th Person Accompanying You(Required)

First Last

Name of 46th Person Accompanying You(Required)

First Last

Name of 47th Person Accompanying You(Required)

First Last

Name of 48th Person Accompanying You(Required)

First Last

Name of 49th Person Accompanying You(Required)

First Last

Do You Have a Coupon Code?

Total

COVID-19 Release Waiver(Required)

○ The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. COVID-19 is reported to be extremely contagious. The state of medical knowledge is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and even death. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Sean and Christa Smith Ministries adheres to comply.
○ Sean and Christa Smith Ministries cannot prevent you or your children from becoming exposed to, contracting, or spreading COVID-19 while attending Sean and Christa Smith Ministries’ services or events. It is not possible to prevent against the presence of the disease. Therefore, if you choose to attend Sean and Christa Smith Ministries’ services and/or enter onto conference/event premises you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.
Assumption of Risk
○ With full knowledge of the risks involved, I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to attend Sean and Christa Smith Ministries’ services and enter the conference premises. These services are of such value to me, and/or to my children, that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to attend Sean and Christa Smith Ministries’ services and enter the conference premises in person.
○ I hereby release, waive, discharge Sean and Christa Smith Ministries, its board, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19.
○ I agree to indemnify, defend, and hold harmless Sean and Christa Smith Ministries from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.
○ By signing below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in checking this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

I have read and agree to the terms above.

Booking Form

"*" indicates required fields

WHO WOULD YOU LIKE TO BOOK?

Book*

EVENT INFORMATION

Name of Church / Organization*

Name of Event

Pastor / Director*

Contact Person*

Contact's Email*

Contact's Phone Number*

Church / Organization Website URL*

Event Location / Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Sessions Expected to Speak / Session Times*

Length of Message*

Expected Number of Attendees*

Would You Like Additional Ministry Time?*

Yes

No

If Yes, How Much Time?

EVENT DATE / DATES

(PLEASE PROVIDE 3 POSSIBILITIES)

#1 Potential Date

#2 Potential Date

#3 Potential Date

Date Range if Multi-Day Event

MM/DD/YYYY to MM/DD/YYYY

CHURCH / ORGANIZATION BACKGROUND

Focus & Vision*

Characteristics of Your Church / Organization (Expressions of Worship)*

Objective in Having Sean and/or Christa Smith with You*

TRAVEL INFORMATION

(PLEASE GIVE THE CLOSEST AIRPORTS & APPROXIMATE DISTANCE TIME TO EVENT LOCATION)

Is Your Church / Event Local?*

Yes

No

Please State the Distance from San Ramon, CA

#1 Airport Choice

#1 Distance from Event Location

#2 Airport Choice

#2 Distance from Event Location

#3 Airport Choice

#3 Distance from Event Location

ACKNOWLEDGEMENT

FURTHER INFORMATION / DETAILS

Is There Anything Else that We Should Know?

Events at this location

562 Lewelling Blvd San Leandro, Ca