The Measure of a Man Registration Form

Men's Convergence | February 28 - March 1, 2025
(Friday Evening, Saturday Whole Day)

This event is open to all men ages 23 and up.

ONSITE LOCATION:
Pinnacle Village Los Angeles
5027 New York Ave. Glendale, CA 91214

REGISTRATION FEE:
Early Bird: $80 (Dec 15 - Jan 15)
Regular: $100 (Jan 16 - Feb 15)
Late: $120 (Feb 16 - Feb 28)

Select One:

I am registering for myself.

I am giving this as a gift to someone else. (Enter gift recipient's information in the next step.)

First Name

Last Name

Age:

Phone Number

Allergies

Additional Details:

LOCAL AREA CHURCH (PLEASE CHOOSE ONE)

PV San Francisco

PV Los Angeles

Other

If other, what city/state you are registering from:

For PV SF, please check all that apply:

I will make my own arrangements for rides and lodging

I need help with lodging for attending PV LA Onsite

I need help with pick-up at Burbank Airport

I need help with pick-up at a Flyaway Bus station (Van Nuys/ Union Station, if flying from LAX_

I need help with rides to and from PV LA during Summit

Other

If other, please specify:

REGISTRATION FEE:
Early Bird: $80 (Dec 15 - Jan 15)
Regular: $100 (Jan 16 - Feb 15)
Late: $120 (Feb 16 - Feb 28)

The payment process is not included in this form and will need to be done separately through Zelle: pinnaclevillage.events@gmail.com

Kindly include "For The Measure of a Man + (your first and last name)" on the memo of the payment.

Please check that the email address you listed for Zelle is correct: pinnaclevillage.events@gmail.com

I acknowledge that I need to submit my payment to complete my registration. Please choose which payment option you will use:

Zelle - pinnaclevillage.events@gmail.com

I will pay through a local church representative.

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