Immanuel Prayer House Registration

**PLEASE TRY AND REGISTER ATLEAST 2-3 WEEKS IN ADVANCE, ROOMS ARE LIMITED** 

NOTE: Due to high volume of guests coming and going, the prayer house ministers can no longer pick up guests from the airport. Unless for extraordinary circumstances, please use Uber services. 

The email to associate with this registration.
Address

Prayer Start Date

Prayer End Date

When do you plan to leave?

Please share your prayer request (Please be specific and list them by Number).
Please read the “IPH Rules and Regulations” form and select below to confirm agreement to abide by it.