Harvest Academy Spring 2024 Course Registration
Student Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which of the following Spring 2024 courses do you wish to register for?
*
Kingdom of God (1 credit) – Jeremy M. Gwaltney
Next Level Leadership (1 credit) – Tim Morningstar
Public Speaking (1 credit) - Steve Chupp
Mental Health and Pastoral Counseling (1 credit) -- Cory Witmer & Don Layman
Lead & Develop 401 (1 credit) Adam Young
Please sign this form below.
For description of course, cost and instruction times, see attached file at the bottom.
The following questions are for NEW students only:
Are you a member of Harvest Community Church?
*
Yes
No
Please list any member of your immediate family who is a current Harvest Academy student.
Would you like to sign up for childcare during your classes ($25-$50 per student/family)?
*
Yes
No
Signature
Submit
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