• Name *
  First Last
• Title
• Group Name *
• Email *
• Daytime Phone *
  ### - ### - ####
• Address *
• City *
• State *
• Event Format *
  Please selectMorning/Afternoon EventEvening Event1 Day ConferenceWeekend Retreat
• Event Date
  MM / DD / YYYY
• PREFERRED TOPIC *
  Please selectRevitalize – Four-session RetreatRevitalize – KeynoteThe King and I – Four-session RetreatThe King and I - KeynoteSuper Saturday – One-day RetreatShopping for a Bargain – KeynoteBloom Where You’re Planted – KeynoteRemembering Bethlehem – KeynoteCookin’ Up a Song – Voice Workshop(s)FREE 15-minute Voice ConsultationCookin’ Up a Song – Voice Workshop(s) for groupCookin’ Up a Song – Private Coaching for soloist
• Estimated Attendence
• Other pertinent information
• How did you hear about Carole’s ministry?