KENT HENRY MINISTRIES
17661 Wild Horse Creek Rd., Chesterfield, MO 63005
P.O. Box 4369 Chesterfield, MO 63006-4369
Phone (636) 532-7711 & nbsp;& nbsp; FAX (636) 532-1122

 Dates Requested:
1. _____________
2. _____________
3. _____________


Host Church Application Form

Church Name ___________________________________________________________________

Street Address ___________________________________________________________________

City ___________________________ State _______________ Zip _____________

Phone _____________________________ Fax ____________________________

Mailing Address (if different from street address) ___________________________________________________________________________

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Senior Pastor ____________________________________________________________________

Contact Person ____________________________________________________________________

Minister of Music ____________________________________________________________________

Worship Leader ____________________________________________________________________

Denominational Affiliation ____________________________________________________________________

Church Seating Capacity _______________ Church Attendance ________________

Church Services (days & amp; times) ____________________________________________________________________

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Size of Your City _______________ Population of Surrounding Area ______________

Estimated Number of Churches Interested in Participating in a K.H.M. Event _______

How did you hear about Kent Henry Ministries? ______________________________

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Why would you like to host a worship event? ________________________________

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What is your view of praise & amp; worship in your church? _________________________

____________________________________________________________________

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What kind of profile does your church currently have (or would like to have) concerning praise and worship in your region? ____________________________________________________________________

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Senior Pastor& #146;s Signature ____________________________________________________________________

Please return this application to: Kent Henry Ministries, P.O. Box 4369,
Chesterfield, MO 63006-4369