Training Registration Form
Templo Pentecostal del Dios Viviente 1921 Walton Ave Bronx NY 10451 November 21, 2026
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Section
*
Outpost Number
*
Church Name
*
List All Candidates
*
Training Courses
*
prev
next
( X )
Ranger Safety
Ranger Safety training course
$20.00
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
First-Aid/CPR/AED Certification
First-Aid/CPR/AED certification course
$80.00
$
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
Leadership 204
Gold Leadership Merit
$15.00
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Credit Card
Register
Should be Empty: