Senior Youth Leadership Course Registration Form
Northeastern Conference
Date
-
Month
-
Day
Year
Date
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Shirt Size
Please Select
XSmall
Small
Medium
Large
XLarge
2XLarge
3XLarge
Church Name
*
Pastor
*
Area
*
SELECT ALL THAT APPLY
Course and Handbook
*
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( X )
SYL Course (Senior Youth Leadership)
For Course Material and Shirt
$40.00
$
40.00
SYL Handbook
Handbook for SYL Course
$10.00
$
10.00
Credit Card
Submit
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