Continuing Education

Continuing Education Registration

Personal Information

Name*

Address*

Email*

Confirm Email*

Phone Number*

Date of Birth*

Position*

Pastor
District Pastor
Youth Pastor
Home Church
Missionary
Other

Gender*

Male
Female

Citizenship*

Visa Status*

U.S. Citizen
F-1
R-1
U.S. Resident Alien
Other

Racial/Ethnic Background*

Hispanic of any race
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Check all that apply

Class Registration

Class Name*

Pyeong Hwa Gyeong ($165.00)

Service Charge*

$25 (Required)

Dates*

June 26 - July 31, 2017

Time Options*

Tuesdays - 8:00pm EST
Thursdays - 3:00pm EST

There are two different time options available. Please choose one.

Teacher: Dr. Tyler Hendricks
Topic: Pyeong Hwa Gyeong

Total

$190.00

Billing Information

Name*

Credit Card*

Visa
Mastercard
American Express
Discover

Billing Address*

Cardholder Email*

Confirm Cardholder Email*

GivingFuel Fundraising Software

Fundraising Software by GivingFuel