October 2023 KSOM Registration Form

October 13-14, 2023 KSOM Registration

Registration deadline: Sept. 29, 2023
Classes take place at Camp Crestwood: 7206 Clore Lane, Crestwood KY 40014.

All fees include overnight lodging at Camp Crestwood.

To purchase textbooks, go to http://agsom.christianbook.com. Select Kentucky from the "District" list, your level of study, and the month of your class. The webpage will show you the textbooks you need. Click "Add to cart" and checkout.

KSOM uses Moodle online education platform for all Study Guides and Exams. Registered students are emailed instructions for class participation by Dani Barth, KSOM Administrator (dbarth@kyag.org). Note: Registrations are not processed until full payment is received.

All class study guides and exams are completed through Moodle. There is no study guide to download or receive via postal mail.

Questions? Contact the Network Office at 502-241-7111 for assistance.
Name*

First NameLast Name
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CityState / Province

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Phone Number*

Area CodePhone Number
Select Your Class Below*
prevnext( X )
Level 1 / Certified: Pentecostal DoctrineIntro to Pentecostal Doctrine
$75.00



Audit Level 1No credit/grade for participation
$35.00



Level 2 / Licensed: Conflict ResolutionConflict Resolution (Conflict Management)
$75.00



Audit Level 2No credit/grade for participation
$35.00



Level 3 / Ordained: PentateuchPentateuch
$75.00



Audit Level 3No credit/grade for participation
$35.00



Adult Chaperone of student under 18Lodging fee required for parent accompanying minor student
$20.00



Lodging Fairfield InnPre-payment is required to receive KSOM's discounted rate
$104.00



Total

$0.00
If someone is paying on your behalf, please enter their name.
When you click the Submit button you will leave this form and be redirected to the payment portal of Aplos, our main database. Your registration information has been submitted at that point, however, registrations WILL NOT be processed until payment in full is received. Take note: New Students must pay both the Enrollment ($30) and Registration Fee ($75) for their first course before their registration will be processed. Once you have been redirected to make your payment, the page will ask much you want to donate. Your payment is called a donation in Aplos.

$ 0.00 shows on the “enter a desired amount” donation line. Enter the full amount due in that area then complete the rest of the form. Click "Submit your KSOM registration payment" at the bottom of the form to process your payment. Once you process your payment your registration will be complete.

If you are having trouble with the payments option, contact Debbie McBurney at dmcburney@kyag.org or call the Network Office at 502.241.7111 and ask for her.
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October 13-14, 2023 KSOM Registration