Passover & Feast of Unleavened Bread Registration

Welcome to our Passover and Feast of Unleavened Bread registration form. We are glad that you have decided to join Yahweh’s Restoration Ministry for this special event. Please complete and submit the below form. Also, feel free to submit a donation of any amount that will be used for supplies and other items (see below).

The below registration form is for nuclear family members only.

Feast of Unleavened Bread

GENERAL INFORMATION

Name *

(as appears on driver license or other government issued ID)

Date of Birth *

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

Country

Phone Number *

Email Address

OTHERS IN GROUP

(please list ALL within your group; if 18 or order, include name as appears on government issued ID and date of birth)

Name

Relation SelectSpouseSonDaughter

Age

Date of Birth

Name

Relation SelectSpouseSonDaughter

Age

Date of Birth

Name

Relation SelectSpouseSonDaughter

Age

Date of Birth

Name

Relation SelectSpouseSonDaughter

Age

Date of Birth

LODGING

Lodging Type * YRM Dorm Room 20$/nightRV Site $10/nightElectric Tent Site $8/nightOther

Number of Days 1234567Other Number of Days

AGREEMENT

I agree to: *

Respect and not openly oppose YRM’s Statement of Beliefs; if requested, to show a driver license or other government issued ID upon arrival; and to leave the Ministry free from all liability in case of accidental injury.

I affirm that: *

I will abide by all requests, including dress code and guidelines

YRM Pet Policy *

I will abide by YRM's pet policy. [No pets or service animals in YRM facilities. (Religious entities are exempt from the requirements of Title III of the ADA III-1.5000.) Pets and service animals are allowed on the property so long as they are leashed. (in campers/ tents, etc...)]

I affirm that *

I am not a confirmed child offender and am not currently engaged in any immoral or illegal activity.

Comments

(include any questions or special requests)

Captcha

If you are human, leave this field blank.

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Fees and donations for Feast of Unleavened Bread:

YRM RV Spot: $10 per night
Dorm room in YRM’s activities building: $20 (per night, per room)
YRM Electric Tent Site: $8 per night

Donations and fees can be submitted by mail at PO Box 463, Holts Summit, MO, 65043; by phone by calling us toll-free at (844) 899-6438; or directly by PayPal by clicking on the link below.

Click here for feast lodging donations.

Back to Feast of Unleavened Bread Information