2026 Fearless and Strong Women's Conference

Virginia Church of God Women's Conference

REGISTRATION FORM
Registration Fee - $40

Price Increases to $50 on February 9, 2026

You may transfer registration fees to another person; however, these fees are non-refundable. Attendees are responsible for meals and lodging.

You will need the name and email address of each attendee to complete this form. Email addresses will enable us to communicate directly with attendees. Group leaders may use their email address if attendees are unavailable.

Groups may register up to 25 women with this form. If you need to register more than 25 women after submitting this form, please return to this page and complete another form.

We accept American Express, Mastercard, and Visa as payment methods.
T-shirts are optional, but we all plan to wear them on Saturday!

Shirts are Unisex in size. Please select your preferred shirt size.

Your total due will be updated when you check the t-shirt box below.

The T-shirt order deadline is February 9, 2026.
How many in your group?*
Attendee 1 Name

First NameLast Name
Attendee 1 Email
example@example.com
Attendee 1 Shirt size

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Attendee 2 Name

First NameLast Name
Attendee 2 Email
example@example.com
Attendee 2 Shirt size

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Attendee 3 Name

First NameLast Name
Attendee 3 Email
example@example.com
Attendee 3 Shirt size

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Attendee 4 Name

First NameLast Name
Attendee 4 Email
example@example.com
Attendee 4 Shirt size

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Attendee 5 Name

First NameLast Name
Attendee 5 Email
example@example.com
Attendee 5 Shirt size

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Attendee 6 Name

First NameLast Name
Attendee 6 Email
example@example.com
Attendee 6 Shirt size

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Attendee 7 Name

First NameLast Name
Attendee 7 Email
example@example.com
Attendee 7 Shirt size

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Attendee 8 Name

First NameLast Name
Attendee 8 Email
example@example.com
Attendee 8 Shirt size

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Attendee 9 Name

First NameLast Name
Attendee 9 Email
example@example.com
Attendee 9 Shirt size

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Attendee 10 Name

First NameLast Name
Attendee 10 Email
example@example.com
Attendee 10 Shirt size

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Attendee 11 Name

First NameLast Name
Attendee 11 Email
example@example.com
Attendee 11 Shirt size

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Attendee 12 Name

First NameLast Name
Attendee 12 Email
example@example.com
Attendee 12 Shirt size

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Attendee 13 Name

First NameLast Name
Attendee 13 Email
example@example.com
Attendee 13 Shirt size

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Attendee 14 Name

First NameLast Name
Attendee 14 Email
example@example.com
Attendee 14 Shirt size

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Attendee 15 Name

First NameLast Name
Attendee 15 Email
example@example.com
Attendee 15 Shirt size

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Attendee 16 Name

First NameLast Name
Attendee 16 Email
example@example.com
Attendee 16 Shirt size

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Attendee 17 Name

First NameLast Name
Attendee 17 Email
example@example.com
Attendee 17 Shirt size

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Attendee 18 Name

First NameLast Name
Attendee 18 Email
example@example.com
Attendee 18 Shirt size

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Attendee 19 Name

First NameLast Name
Attendee 19 Email
example@example.com
Attendee 19 Shirt size

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Attendee 20 Name

First NameLast Name
Attendee 20 Email
example@example.com
Attendee 20 Shirt size

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Attendee 21 Name

First NameLast Name
Attendee 21 Email
example@example.com
Attendee 21 Shirt size

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Attendee 22 Name

First NameLast Name
Attendee 22 Email
example@example.com
Attendee 22 Shirt size

SmallMediumLargeX-LargeXX-LargeXXX-LargeNot Interested in a t-shirt
Attendee 23 Name

First NameLast Name
Attendee 23 Email
example@example.com
Attendee 23 Shirt size

SmallMediumLargeX-LargeXX-LargeXXX-LargeNot Interested in a t-shirt
Attendee 24 Name

First NameLast Name
Attendee 24 Email
example@example.com
Attendee 24 Shirt size

SmallMediumLargeX-LargeXX-LargeXXX-LargeNot Interested in a t-shirt
Attendee 25 Name

First NameLast Name
Attendee 25 Email
example@example.com
Attendee 25 Shirt size

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Address*

Mailing Address

Street Address Line 2

CityState

Zip Code
Primary Phone:*
(000) 000-0000
Pastor's Wife Name*

First NameLast Name
Pastor's Wife Email:*
example@example.com
Local Church*
If your church is not listed, please choose "other" and provide the church name below.
Other Church Name
To Receive the Correct Total Please Check ALL the Boxes that Apply Below & Select the Appropriate Quantity!