Registration

About You

Attending DOR25

Last Page

PART A. Your Profile

Tell us about you...

Your Title *

Select your title

Surname: *

Enter your surname

Other Name(s): *

Enter your other name(s)

Email Address: *

Enter the address you wish us to contact you with

Your Age: *

Select your age range

PART B. Where Do You Worship?

Provide details about your church...

Are you a member of Deliverance Church Umoja? *

Yes

Which DCIU Campus do you attend? *

Are you part of any DCIU Ministry? *

Yes

Select the DCIU Ministry you are part of... *

What Church Do You Attend?

Enter the name of the church you attend...

PART D. Privacy & Submission

How we intend to use your submitted data...

How did you hear about DOR 2025? *

Church Announcement

Social Media

DCIU Website

Other, e.g. friends

By submitting this form you are agreeing to DCIU using your information to contact you about DOR 2025

Days of Refreshing 2025