Kingdom Leadership Academy: Discovering the Real You

Kingdom Leadership Academy Registration Form

March 14, thru November 14, 2020 (every 2nd Sat.) - 10am - 12:30pm
Name *

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Home Number

Area Code Phone Number
Cellular Number

Area Code Phone Number
Deposit *

$130 due by 02/01/20 (includes $5 registration fee)
Final Payment

$130 due by 03/01/20 (includes $5 registration fee)
Full Payment

$255 due by 03/01/20 (includes $5 registration fee)
or pay via Cash App $jacquelineRD
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