Registration
 

Main • Instructors • Courses • Venue • Registration • Brochure

 

Biblical Counseling Training
Registration
 

Required Fields

First Name:   Last Name:

     Address:

         City:   State:    Zip:  

     Phone: ()- E-Mail:

                 (We do not sell or share your personal information with anyone)

 

Home Church:

       Address:

         Pastor:

 

NA Level 1
 Level 2

Reason for taking the course:
  

 

Pay $350.00 registration by:

PayPal and all Credit Cards

 

 Check

 Your seat will not be held until we receive payment in full.

 

 

© Chapel Media Ministries

Clearcreek Chapel
 * 2738 Pennyroyal Road * Miamisburg, Ohio 45342 *
PO Box 327 * Springboro, Ohio 45066

(937) 885-2143