Home
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About rtr
REV. Zebbe Dee Hernandez
Transformation Church
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Prayer
Home
Family
Support
Love
Faith
Welcome
About
About rtr
REV. Zebbe Dee Hernandez
Transformation Church
Guest
Media
Forms
Team member news
Prayer
Guest Form
Last Name
*
First Name
*
Age
*
Address
*
City
*
State
*
Zip
*
Who referred you to RTR?
*
T-Shirt Size
*
S
M
L
XL
2X
3X
Phone
*
(###)
###
####
Alternate phone#
(###)
###
####
Best time to call?
*
Children and ages
*
Email Address
*
Special Needs i.e: diet, Transportation, or medical?
*
Allergies-Food/Meds
*
Are you able to climb a flight of stairs to 2nd floor?
*
Yes
No
Comments/Notes
Incarcerated Family Member Name
*
Relationship
*
Inmate ID#
*
Facility
*
Address
*
City
*
State
*
Zip
*
Guest Emergency Contact Name
*
Relationship
*
Phone #
*
(###)
###
####
Address
*
City
*
State
*
Zip
*
Photo release: I hereby give my permission to be included in the Road to Restoration Ministries, Inc Group photo and for its use in any RTR documents including but not limited to the RTR Brochure
*
I agree
I disagree
By typing my name I am affirming that the information I have entered is correct to the best of my knowledge
*
First Name
Last Name
Thank you!