Life Change Registration Process


Thank you for your interest in Life Change! If you would like to register for one of our workshops, please complete the following confidential application. You may indicate which workshop you would like to attend on the application.

All communication is done via email unless an email address is not provided, or more in depth communication is needed. Please respond to all emails sent to you from our Wholesness Ministries; and check your spam folder as our emails are sometimes sent there. 

At the bottom of this page, you may select to fill out the online application. Or, click here to download the application.   If filling it out online, please complete all fields and click the "submit" button when finished.  If downloading the application and filling out by hand, please send it to us at the address or email indicated in the Contact section, along with the registration fee, as soon as possible.  These workshops have a limited capacity, and tend to fill up quickly. 

Our workshops begin on a Friday at 2:00pm. We would need you to arrive ahead of that time to get checked in and ready for the weekend. The workshop is Friday evening, and Saturday, all day and evening.  ALL participants must be able to attend the ENTIRE workshop. 

The registration fee is $100.00 for a Life Change Workshop. Please make checks payable to Life Church. Payment can be made via cash, check, or card payment over the phone.  If money is an issue, please select the box on the application indicating that you need assistance in paying your registration fee. Scholarships may be available.


It is HIGHLY recommended that you stay in town after the workshop on Saturday and consider joining us for our church service Sunday morning. Due to the late hours of the workshop, we do NOT suggest that you drive long distances on Saturday night. If you have any other questions that need addressing before you submit your application, please call us at 503-362-0362 or email us at info@lifechangesalem.com.

We look forward to receiving your application for this life changing weekend!

Sincerely,

Kit Casebier
Life Change Director


Life Change Confidential Application


   
   
   
   
   
   
   
Male
Female
   
   
Married
Single
   
Yes
No
   
Yes
No
   
Yes
No
   
   
   
   
   
   
   
   
   

1 is disconnected, 5 is some connection, 10 is very connected
   
   
   
I Agree
 
   
We encourage you to spend the days and weeks leading up to the workshop seeking the Lord for His will to be accomplished during your Life Change weekend. This can be done through prayer, fasting, and meditating on His Word.
We also encourage you to find a group of close friends, family, and/or mentors to be praying for you during the days leading up to and during the Life Change weekend.
Life Change has a fee of $100 to help cover costs. Upon confirmation, you can call our office at 503-362-0362 and pay by debit/credit card over the phone. This method is preferred. You may also, however, bring in your payment personally to the Life Church office in the days leading up to or on the starting day of the workshop.
 
   
I am a Life Church Ministry Leader/Team Member/Life School Student
   
Yes
No
   
   
Please carefully read the following Release Agreement, which you will be required to sign upon check-in at the Life Change Workshop in order to participate in the workshop.  
   
I understand that upon check-in for the Life Change Workshop, I will be required to sign the above Release Agreement in order to participate in the workshop. *  
Yes, I understand.