To assist you and HRock Church in gathering all of the necessary information to prepare for your time with us,
please complete and return the following form to Eugene Wade Jr. (Ewade@hrockchurch.com) on or before February 15, 2017.


Name of Church: Ambassador Auditorium (home of HRock Church)
Address: 131 S. St John Ave.
City: Pasadena
State: CA
Zip Code: 91105
Country: USA

Pastor/Overseer: Pastor Ché Ahn
Website: http://hrockchurch.com/calendar/conferences
Contact Name: Eugene Wade Jr.
Contact Phone: 803-716-4947
Contact E-mail: Ewade@hrockchurch.com


Please park in the “Above Ground Handicap Parking Lot” next to the football field on 131 S. St. John St. (1st driveway after our church). There will be a reserved designated parking spot with your name on it. This is where your host driver will park.


Conference Title: Revival Alliance Conference 2017

Conference Dates: April 18 - 21, 2017

Seating Capacity: 1200

Expected Attendance: 1200

Confirmed Conference Speakers: Che Ahn, Randy Clark, Heidi Baker, Bill Johnson, Georgian and Winnie Banov

Confirmed Conference Worship Leaders: Kenny Peavy


We interpret 4 languages: Spanish, Chinese, Mandarin, Portuguese
If another language is needed to interpret; please provide:


Each Speaker is allowed to bring two guests complimentary (spouse, assistant, family, friend), not including themselves. After the two comps, any additional person the speaker is bringing needs to register and pay the fee.

Due to our limited space and security reasons in our Special Seating area, we are asking that all of our speakers give us plenty of notice of any family members and /or friends that will be accompanying them to the conference. Please list those who will be joining you below, including those that pay the registration fee, so we can ensure Special Seating.


Because we broadcast live, all visual aids must be pre-approved, due to copy right laws.

Will you be using a PowerPoint presentation?

Yes No

Will you be using any video footage?

Yes No

Select Microphone Preference:

Any other special instructions or requests:


Our church and conferences generally cater to casual dress attire. Please feel free to dress in what is most comfortable for you. Because each service in Ambassador Auditorium is broadcasted and filmed, we ask that you would wear appropriate clothes for the cameras.

Please avoid the following:
Mainstream large logos, busy patterns, bright colors, small stripes, and stark white shirts


Will you be selling any products?

Yes No

Are you interested in participating in a book signing?

Yes No

Any additional information:


HRock Church is pleased to cover the cost of two coach class advanced purchased tickets.


LAX is 28 miles from our hotel of choice, The Courtyard by Marriott. Depending on traffic, the driving time can range from 45min to 90min. The hotel is 1 mile from HRock Church.

Burbank Bob Hope is 13 miles from our hotel of choice, The Courtyard by Marriott. Depending on traffic, the driving time can range from 20min to 30min. The hotel is 1 mile from HRock Church.

In order to reimburse you, we must have a copy of your official itinerary airfare receipt (with airline name & names of the people traveling) as soon as possible. Please email the flight itinerary to Eugene Wade Jr. (Ewade@hrockchurch.com) by December 9, 2016.

Who should the Airfare Reimbursement Check be made payable to?


Transportation from the airport will be provided for you. Your Host Driver will meet you at the airport and transport you to the hotel. Please let us know if you have made prior transportation arrangements and do not need us to provide you with a host driver.


Airport Pick-up Preference:

Luggage Quantity:

Our Host Driver will leave their cell phone on in case of emergencies. Please leave your cell phone on as much as possible, as it would help with communication and meeting your needs in the most efficient way.

Speaker Cell Phone Number:

*Speaker Host Driver Name and Cell: We will provide this once we have secured a driver.


HRock Church requires each of our speakers to fill out and return a W-9 form in order for us to process an honorarium. Who should we make the Honorarium Check payable to? (should match the W-9 form)


HRock Church will provide accommodations for you and your assistant during your stay at:

Courtyard by Marriott

180 N. Fair Oaks Ave.

Pasadena, CA 91103

Enter Phone: (626) 403-7600


Reservations: How many nights will you spend with us in Pasadena for this conference?



Speaker Name:



Room Preference: 2 queens or Single King

Any Special Requests:



Assistant Name:



Room Preference: 2 Queens or Single King

Any Special Requests:


Internet & Fax machine: The hotel does have high speed internet access in every room through a cable, and free wireless internet access is available in the lobby area. If you should need to send a fax, please see the front desk, as it is complimentary.

Room Service, Breakfast & Coffee from the Café: HRock Church will cover the cost of your meals at the hotel. Please order either room service, or from the Café, whenever you wish. Breakfast is served in the dining room in the Lobby in the mornings. We will take care of all food related room service/café charges.

Phone Calls: We respectfully ask that you use your cell phone for all phone calls. If you would like to make long distance calls during your stay, please feel free to do so from our church office.


Dietary Preference:

Preferred Snack:


Any additional information:

If you have not filled out a W-9 Form for HRock Church please download the attached W-9 form and return it completed to Eugene Wade Jr. at Ewade@hrockchurch.com so that your honorarium will be processed in a timely fashion.

W-9 Form


Please review and sign the 2017 Release Form that is attached and return it to Eugene Wade Jr. at Ewade@hrockchurch.com so that we can move forward with your confirmation.

Release Form