2026 Conference Registration Form

2026 Conference Registration Form

A Discipleship Program under BLT Ministries, A 501(c)3
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please complete the registration form below with your personal information. If you plan to pay for additional guests, be sure to include their names in the designated section. This helps us secure your seat and make accurate accommodations for everyone in your party.

Important: Be sure to click the Submit button to finalize your registration.
Name

First NameLast Name
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Support the 100% Changed™ Discipleship Program
Would you like to receive more information about how you can support the 100% Changed™ Discipleship Program? We invite you to sow into the legacy of transformation through this powerful initiative—one that has empowered women emotionally, spiritually, and physically for decades. While we are not collecting donations during conference registration, we’d love to share more about how your support can help us continue this vital work of healing, equipping, and restoring lives. The 100% Changed™ Discipleship Program is an affiliate of BLT Ministries, a registered 501(c)(3) organization. Your future tax-deductible gift fuels the mission. Every seed multiplies impact.
Would you like to receive more information about the 100% Changed™ Discipleship Program?
Sponsor a Guest: Add Additional Attendee(s)
Please list the First and Last name(s) of any additional attendees you are paying for on this registration form. (Click +Add Another Attendee to add more names) If you are unsure of who you’ll be bringing, you may enter placeholder names such as Guest 1, Guest 2, etc. (If you decide to bring someone different, simply notify the registration team upon arrival.) Thank you for your cooperation—this helps us ensure accurate registration, seating, and materials for everyone attending.
Confirm Your Registration and Payment
- Early Bird (until October 4th): $30
- Regular Registration (after October 4th): $40
Select your payment method
Select ticket quantity. (Paying with cash)
Cash Payment: Enter total conference fee you are paying in Cash ($30 per ticket)
Multiply # quantity of tickets x $30 enter the amount here
Electronic payment
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Conference Fee
Tickets

$30.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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2026 Conference Registration Form

Support the 100% Changed™ Discipleship Program

Electronic payment

Payment Methods