Class Registration Form

Name*

First NameLast Name

Phone Number*

Format: (000) 000-0000.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Church Name (if Church name is not listed please select "Other")*

If Other (please let us know what Conference and Church you are from)*

April 24 4:30 pm - PrayerApril 24 5:00 pm - Origami Part 1 of 2 (part 2 May 1)May 1 4:00 pm - Basic First Aid

My Products*

Basic Staff Training Pin & Certificate - Pathfinder$5.50

This includes the Pin & Certificate & Shipping costs for Pathfinder Basic Staff Training

Basic Staff Certificate & Pin - Adventurer$5.50

This includes the Pin, Certificate & Shipping Costs for Adventurer Basic Staff Certification

Enter coupon

Total $0.00

Club Ministry Class Registration & Order Form