Reflect, recharge and discover a reformational vision of Christian faith and culture at this four-day intensive learning program for Christians serving in all spheres.

Be equipped to apply the glory of a full-orbed gospel in all areas of life.

Join us from May 21 to 24, 2023 at Clearwater Forest Retreat Centre, Deerwood, MN!

Speakers include:

Rev. Dr. Joseph Boot
Rev. Dr. Andrew Sandlin
Rev. Dr. Michael Thiessen
Dr. Ted Fenske

Total price of the program, including meals and accommodations:

$450 per person
$750 per married couple

Space is limited, register now!

Registration Type: *

Full Name *

Spouse's Name *

Phone *

Email *

Spouse's Email *

Sex *

Marital Status *

Age *

Spouse's Age *

Birthdate (D/M/Y) *

Spouse's Birthdate (D/M/Y) *

Address

Street Address *

City *

State/Province *

Zip/Postal Code *

Country *

Church Name *

Church Address *

Current Occupation *

Spouse's Current Occupation *

Current Employer/Organization *

Spouse's Current Employer/Organization *

Highest Level of Study and Subject * (Please include graduate and postgraduate qualifications, if applicable.

Spouse's Highest Level of Study and Subject * (Please include graduate and postgraduate qualifications, if applicable.

Institute of Education/University *

Spouse's Institute of Education/University *

Medical Information

To ensure the well-being of all concerned, please provide us with the most up-to-date information.

Please list any allergies, dietary requirements, or other needs: *

Please list any allergies, dietary requirements, or other needs (spouse): *

Emergency Contact

Full Name *

Phone *

Email *

Relationship to you *

About you:

Please tell us a bit about your testimony and your personal and professional background. * (No more than 500 words)

Please explain why you would like to attend the Christianity & Culture Colloquium. * (No more than 250 words)

How did you hear about the Christianity & Culture Colloquium? *

Second Registrant - To be completed by spouse

Please tell us a bit about your testimony and your personal and professional background. * (No more than 500 words)

Please explain why you would like to attend the Christianity & Culture Colloquium * (No more than 250 words)

How did you hear about the Christianity & Culture Colloquium? *

Electronic Signature

By registering for the Christianity and Culture Colloquium, the applicant agrees to attend all lectures and scheduled activities, be punctual, and participate fully and positively in the program.

I understand that checking this box constitutes a signature confirming that I acknowledge and agree to the above statement. *

By providing us with these details you are agreeing that you consent for the Ezra Institute for Contemporary Christianity to securely hold these details and to use them to contact you. The Ezra Institute will not sell or give your details to any external organization. You can unsubscribe at any time. *

Date (D/M/Y): *

Application successfully submitted! Please proceed to checkout to complete payment.

One of our colleagues will be in touch with you soon. Have a great day!

Application successfully submitted! Please proceed to checkout to complete payment.

One of our colleagues will be in touch with you soon. Have a great day!

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