Recharge Conference

Recharge Conference

September 25 - 26, 2026

Church Information

Church City

Church Name

My church is not in the list

Church Name

Church City

City ID	Church ID
Today

Will your senior pastor be attending?

YesNo

Do you have a senior pastor discount code to apply?

YesNo

Senior Pastor Discount Code

SP Code Valid

Please contact Al Curley at al.curley@texasbaptists.org for your discount code

Will you be registering any students?(High School, College, Graduate, Seminary)

YesNo

Do you have a student discount code to apply?

YesNo

Student Discount Code

Student Code Valid

Point of Contact Information

Registration

$

Apply Discount

First Name	Last Name
Email	Cell Phone

Are you a senior pastor?

YesNo

Will you be attending Recharge?

Yes

No

Please select your age range:

18-22

23-29

30-39

40+

T-shirt size (NOTE: Sizes are subject to availability after August 31, 2026.)

SmallMediumLargeX-Large2X-Large3X-Large4X-Large

Are you a student?

YesNo

Do you have any dietary restrictions?

Yes

No

Please list all dietary restrictions.

Count

Discount

Senior Pastor Information

Registration

$

First Name	Last Name
Email Please enter a unique email address. If you don't know the email address, please leave blank.	Cell Phone

Please select your age range:

18-22

23-29

30-39

40+

T-shirt size (NOTE: Sizes are subject to availability after August 31, 2026.)

SmallMediumLargeX-Large2X-Large3X-Large4X-Large

Do you have any dietary restrictions?

Yes

No

Please list all dietary restrictions.

Count

Discount

Do you need to register additional people?

YesNo

Attendee Information

Registration

$

Apply Discount

First Name	Last Name
Email Please enter a unique email address. If you don't know the email address, please leave blank.	Cell Phone

Dup Email?

Duplicate Email Text

Please select your age range:

18-22

23-29

30-39

40+

Are you a student?

YesNo

T-shirt size (NOTE: Sizes are subject to availability after August 31, 2026.)

SmallMediumLargeX-Large2X-Large3X-Large4X-Large

Do you have any dietary restrictions?

Yes

No

Please list all dietary restrictions.

Count

Discount

Volume Discount Code

Volume Discount

Reg Price

Payment Page

Hidden Totals

Total Registrant Count

Raw Total

Total with Discounts

$

Total Discounts Applied

$

Payment Type

Credit CardeCheck

Registration Summary

Subtotal

$

Total Discounts Applied

$

Total before card fees

$

Credit Card Fees*

$

Total Amount Due

$

Credit Card Information

Name on Credit Card

Credit Card Number

Credit Card Type

Credit Card Code

(Card Verification Value)

Expiration Month

Expiration Year

eCheck Information

Bank Name	Name of Account Holder
Bank Routing Number	Bank Account Number

Account Type

CheckingSavingsBusiness Checking

Customer Billing Information

First Name

Last Name

Email

Street Address

City

State

Postal Code

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Texas Baptists | 7557 Rambler Rd., Suite 1200, Dallas, TX, 75231 US | (888) 244-9400