"*" indicates required fields CompanyThis field is for validation purposes and should be left unchanged.PARTICIPANT INFORMATIONParticipant's Name* First Last Yourself or Minor? I am registering myself and am over 18. I am registering for a minor and I am the parent or legal guardian. Parent or Legal GuardianName of parent or legal guardian who is filling out this form.Your Email Address* Email Address Confirm Email Address Your Phone*Your Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Emergency Contact Full Name*Emergency Contact's Phone*A LA CARTE OPTIONSSession A - $40.00Saturday 10:00 – 10:50 am A1. Broken for Reconstruction A3. Catalyzing Kingdom Transformation A4. Building Kingdom Legacy Session B - $40.00Saturday 11:00 – 11:50 am B1. From Isolation to Impact B2. Where Sharing Hearts Begin B3. Stewarding My Kingdom Temple B5. Economic Uncertainty Session C - $40.00Saturday 2:00 – 2:50 pm C1. Kingdom Pain Equals Kingdom Gain C2. Leading from Imprisoned to Empowered C3. Fostering Kingdom Authority C4. AI & The Financially Savvy Lioness Session D - $40.00Saturday 3:00 – 3:50 pm D1. From Isolation to Impact D2. Kingdom Intercessors Arise D4. Elevating Kingdom Purpose Backup Choices*In case the workshop you requested is full, please enter a backup choice for each session (for example, A4, B1, C2, D2)Lunch Saturday Quantity Price: $45.00 Quantity Panel Discussion + Lunch Quantity Price: $75.00 Quantity 1:00 to 2:30 pm. Learn more: https://lionessconclaveretreat.online/2026-lunch-and-panel-discussion/Food Allergies/Preferences*Please specify any medical conditions, food allergies, etc. that we should be aware of and plan around.LIONESS RISING (K-6th grades)For daughters and their Mothers on Sunday from 8:30 a.m. to 4:00 p.m. It's a youth-focused program that includes workshops like AI safety, intercessory prayer, and mother-daughter ministry. Learn more at https://lionessconclaveretreat.online/2026-lioness-rising-program/Lioness Girls Parent Quantity Price: $55.00 Quantity Lioness Girls K-6th Quantity Price: $35.00 Quantity Name(s) of Daughter(s)Additional Guests for Worship ServicesThere is no cost for family members to attend with you on Friday night, Saturday night, and Sunday morning, but please RSVP for them when you register so we have an idea of how many seats to prepare.Friday NightPlease enter a number from 0 to 6.Saturday NightPlease enter a number from 0 to 6.Sunday MorningPlease enter a number from 0 to 6.Participation AgreementPARTICIPANT AGREEMENT AND ASSUMPTION OF RISK By checking this box, I acknowledge, agree and will adhere with the statement below.General Waiver: In consideration of my acceptance to participate in the Lioness Conclave 2026, from October 31 through November 1, 2026; I do hereby personally assume all risk in connection and I further release Overcomers International Ministries, and their officers, directors, employees, and agents from responsibility for: a. Any and all injuries caused by the inherent risks of the activity and/or the negligence, recklessness, or intentional acts of myself and/or any third parties. My waiver of personal injury does not include injury caused by the negligence, recklessness, or intentional acts of Overcomers International Ministries. b. Any and all property damage that may occur while I participate in the Lioness Conclave. My property damage waiver includes all property damage, including that caused by negligence, recklessness, or intentional acts of myself, third parties, and/or Overcomers International Ministries. I HEREBY ACKNOWLEDGE THAT MY PARTICIPATION IS STRICTLY VOLUNTARY, AND THAT SIGNING THIS DOCUMENT I KNOWINGLY ASSUME ALL RISKS. I agree to stop and request assistance if I experience any symptoms such as, but not limited to, dizziness, excessive fatigue, shortness of breath, pain, or any other conditions which would make it difficult or unsafe to continue in any activity. Representations Concerning Health: With full knowledge of the risks, I represent that I am in good health and do not have any condition which will interfere with my ability to participate in the Lioness Conclave or endanger my health in connection with the Lioness Conclave. I acknowledge valid and current insurance to cover any injury or damage I may cause or suffer while participating in the Lioness Conclavet or otherwise agree to personally bear the costs of such injury or damage. I authorize but do not obligate Overcomers International Ministries to provide emergency medical treatment in the event of an accident or illness that occurs while participating in the Lioness Conclave. I assume my own responsibility of physical fitness and capability to participate in the Lioness Conclave and attest that I am physically able to do so. Severability: I further expressly agree that the foregoing waiver and assumption of risk agreement is intended to be as broad and inclusive as permitted by the law of the state of Missouri and its neighboring state of Illinois; and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Nothing in this Agreement should be construed as a limitation, release, or waiver of a personal injury action, suit, damage, claim or judgment that is based solely on Overcomers International Ministries negligence, reckless or intentional act. Acknowledgment of Understanding: I have read this waiver of liability and assumption of risk, fully understand its terms, and understand that I am giving up substantial rights, including certain rights to sue. I acknowledge that I am signing the agreement freely and voluntarily and intend by my signature to be a release of liability as stated above and as it relates to the Lioness Conclave to the greatest extent allowed by law. I further state that I am of lawful age and legally competent to sign this affirmation and release; that I understand the terms herein are contractual and not mere recital; and that I have signed this document of my own free act.Electronic SignatureBy typing your name above, you are authorizing your electronic signature to the PARTICIPANT AGREEMENT AND ASSUMPTION OF RISK.This field is hidden when viewing the formOrder SubtotalProcessing Fee* Price: $0.00 2.9%+$.30Total Credit Card Cardholder Name Card Details Section Break