Koinonia Konference Registration Form with Payment

Koinonia Konference Registration

Please register for the Konference by completing the form below
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
YesNo
YesNo
YesNo
YesNo
VegetarianDairyVeganNutsOther
Any other restrictions please describe
MediumXL2X
Enter Footworks 4 Futures Special Code
Invalid code. Please enter the conference code.
By registering for the 2026 K3Health Koinonia Konference you are consenting to receive emails from K3Health and Sponsors.

Registration

Individual Registration

$135.00

K3 Health Mat with case (optional)

$10.00 Quantity

Total

$0.00

If you have any difficulty with registration, please contact us: (336) 207-4510 or email: k3health@yahoo.com
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