Elohim Collective Registration

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Name

First

Last

Phone Number

Street Address

City

State

ZIP Code

What about Elohim Collective interests you most?

On a scale of 1 to 10, would you consider yourself a curious creator (1), experimental creator (5), or an avid creator (10)?

How did you learn about Elohim Collective?

Briefly share where you are in your journey with Jesus.

Which of our creative explorations are you most interested in?

There will be studio time during the week when you will be free to work on your chosen art form(s). Do you plan to bring any personal supplies and/or tools? (Ex: easel, potters wheel, bulky items)

Are you applying with a friend or family member? Would you prefer to room together if possible?

Are you a member of a local church? If so, which one?

Will you be staying on site? Are you comfortable sharing a room with 1-3 others? Do you require any special room considerations?

Do you have any food allergies? (While we will make reasonable accommodations for legitimate needs, we ask for your flexibility.)

Media Release

By checking "Yes" below, you grant the Inn of Last Resort permission to use photographs, video, or audio recordings taken during your stay for promotional purposes, including but not limited to use on our website, social media platforms, and printed materials. Your name will not be used without additional consent.

Please indicate your Media Release preference by selecting "Yes" or "No" below.

Will you be paying by credit card or check?

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Train to Reign

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Heroes of Today

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