Opportunities to Make a Difference Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Church You Belong To * Pastor Interests Men's Ministry Leadership Training Women's Ministry Leadership Training Children's Ministry - VBS, Recreation, Etc Children's Ministry Leadership Training Deacon Training Discipleship Construction Evangelism Recreation / Sports Evangelism Other Checkbox Option 1 Option 2 Thank you!