LEAD Ontario 2018

• Select your LEAD Experience*
  No LEAD Experiences open
• Are you attending the full experience?*
  Yes, both Friday and Saturday.

  No, just Friday only.

  No, just Saturday only.
• Your Name*
  First Name

  Last Name
• Name As It Would Appear On The Badge
• Your Email*
   
• Church/Chapel/Organization*
  Please tell us where you are from
• Leadership Role
• Address*
  Street Address*

  Address Line 2

  City*

  Province / State / Region*

  Postal Code / Zip

  Antigua and BarbudaBahamasBarbadosBelizeCanadaCosta RicaCubaDominicaDominican RepublicEl SalvadorGrenadaGuatemalaHaitiHondurasJamaicaMexicoNicaraguaPanamaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesTrinidad and TobagoUnited StatesArgentinaBoliviaBrazilChileColumbiaEcuadorGuyanaParaguayPeruSurinameUruguayVenezuelaAlbaniaAndorraArmeniaAustriaAzerbaijanBelarusBelgiumBosnia and HerzegovinaBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGeorgiaGermanyGreeceHungaryIcelandIrelandItalyLatviaLiechtensteinLithuaniaLuxembourgMacedoniaMaltaMoldovaMonacoMontenegroNetherlandsNorwayPolandPortugalRomaniaSan MarinoSerbiaSlovakiaSloveniaSpainSwedenSwitzerlandUkraineUnited KingdomVatican CityAfghanistanBahrainBangladeshBhutanBrunei DarussalamMyanmarCambodiaChinaEast TimorIndiaIndonesiaIranIraqIsraelJapanJordanKazakhstanNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLebanonMalaysiaMaldivesMongoliaNepalOmanPakistanPhilippinesQatarRussiaSaudi ArabiaSingaporeSri LankaSyriaTaiwanTajikistanThailandTurkeyTurkmenistanUnited Arab EmiratesUzbekistanVietnamYemenAustraliaFijiKiribatiMarshall IslandsMicronesiaNauruNew ZealandPalauPapua New GuineaSamoaSolomon IslandsTongaTuvaluVanuatuAlgeriaAngolaBeninBotswanaBurkina FasoBurundiCameroonCape VerdeCentral African RepublicChadComorosCongoDjiboutiEgyptEquatorial GuineaEritreaEthiopiaGabonGambiaGhanaGuineaGuinea-BissauCôte d\'IvoireKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSudanSwazilandTanzaniaTogoTunisiaUgandaZambiaZimbabwe

  Country*
• Phone Number*
   
• Do you have any special dietary needs?
  Yes

  No
• Please list your special dietary needs below.
• We would like to use photos from the LEAD experiences to let others know what is going on with Awana in Ontario.
  Check this box if you do NOT want pictures from LEAD that you are in posted publicly.
• Do you have a Facebook Account?
  Included with LEAD is a 20-day introduction and 18-day follow-up through posts and discussion in a Facebook Group.
  Yes

  No
• What is your Facebook User Name?
  If you do not know what your Facebook User Name is, go to your profile on Facebook and your User Name can be found in the last portion of the address bar at the top of your browser (e.g. http://www.facebook.com/yourusername). This will help us add you to the Facebook Group.
• Payment Method?*
  Online with a Credit Card

  At-the-Door by Cheque
• Online Payments
  We accept Visa and MasterCard. Please complete the Online Payment after submitting your registration.
• Cheque Payments
  Please make cheques payable to Awana International Canada.