Register Weekend Information

Fill out this form to report your future weekends to Kairos for the Kalendar, to request agape and to solicit prayer for your weekend. Your Weekend Registration requires a "human review" before it is entered into the Kairos Kalendar. It will be entered as soon as possible.

Fields marked with an * are required, if it is a new registration.

* Your Name (First and Last):
* Email Address:

*Indicate the type of Kairos Weekend:
         Kairos Inside Men's     Kairos Inside Women's     Kairos Outside     Kairos Torch    

* State or Country:
* Weekend Dates (MM/DD/YYYY - MM/DD/YYYY):  

Amended? If amended, old dates (MM/DD/YYYY - MM/DD/YYYY):

Please don't use abbreviations for your institution/community name.
CAVJMBCI or BJRDAVCF do not mean anything outside your local community.

* Institution/Community (KO):  Amended?
                                             Number:  Amended?

* Weekend Leader Name:  Amended?
* Phone Number XXX-XXX-XXXX:  Amended?
* Email (if Leader has one):  Amended?

* Advising Leader Name:
* Phone Number XXX-XXX-XXXX:
* E-mail:

* Observing Leader Name:
* Phone Number XXX-XXX-XXXX:
* E-Mail:

E-mail Address for Agape:  Amended?
          Address for Agape:  Amended?

Specific Appeal for Prayer:

Leave this empty: