EmailMe Form - Big Results Conference Registration Form

Church Name *

Your First and Last Name *

Your Title (Pastor, Deacon, Ministry Leader, Regular Member, etc.) *

If Ministry Leader, what ministry do you lead?

Phone Number *

### - ### - ####

Birthdate *

MM / DD / YYYY

Email *

Can we text you regarding updates on this conference? *

Yes

No

We will only text you updates regarding this conference.

Registration Details

Registering yourself only? *

Yes

No

Which Times? *

10:45am

12noon

Both

10:45 am Class Choices *

Start With Children

Breathing Life Into Sunday School

Deacon as Leaders

12:00 Noon Class Choices *

Reaching Gen XYZAB

Execute with Excellence

How to Study the Bible

10:45 am Class Choices - *

Start With Children

Breathing Life Into Sunday School

Deacon as Leaders

12:00 Noon Class Choices - *

Reaching Gen XYZAB

Execute with Excellence

How to Study the Bible

Registering a church group (2 or more)? *

Yes

No

Enter Names and Classes. Example: John Doe, Deacon as Leader.

Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen

Example: John Doe, Start with Children

Need to enter more names and classes for your church group? *

Yes

No

Enter Names and Classes. Example: John Doe, Deacon as Leader.

Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen

Need to enter more names and classes for your church group? *

Yes

No

Enter Names and Classes. Example: John Doe, Deacon as Leader.

Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen
Registrant Full Name and Class Chosen

Payment Details. The fee is $15.00

Has your fee been paid by someone else? *

Yes

No

If yes, please enter their first and last name *

Individual Payment Method (if paying for only yourself). Please select "N/A" if you ARE NOT PAYING for yourself. *

Credit Card

Check

Cash

N/A (not applicable)

Church Payment Method (if paying for church group). Please select "N/A" if you ARE NOT PAYING for a church group. *

Credit Card

Check

Cash

N/A (not applicable)

Remember, after you fill out this form, you will still need to pay (if you haven't already).

Individuals:
You can pay online by debit/credit card, by check, or by cash. Cash or check can be paid in person by Sunday, August 23rd, to New Jerusalem or Victory Temple Baptist Church.

Church Groups:
Cash or check can be paid in person by Sunday, August 23rd, to New Jerusalem or Victory Temple Baptist Church.

Deadline:
Please register and pay by Sunday, August 23, 2026.

Confirmations:
We will confirm your payment BEFORE the Big Results Conference. If we have any questions, we will call and/or text you. Thank you!

Contact:
If you have questions, contact churchstaff@njmbc1906.org

Disclaimer

We don't (New Jerusalem M. B. Church) disclose information (personal or general) collected by our site, via our online forms. Although, we won't ever ask for your personal information like Social Security Numbers, Account Numbers, etc.

We only use information collected from our online forms to tally a count of participants for events and to contact them in case of event updates and changes, to respond to members (if the online form is specifically for members of New Jerusalem), or to share any other pertinent communication that's needed, after online form information is submitted.