Class: Discipleship Counseling 1

Syllabus

Primary Registration Contact Information

First Name *

Last Name *

Spouse's Name (if registering as a couple)

Spouse's Email (if registering as a couple)

Email Address *

Are you planning to take this course *

In Person Online Both

Phone Number *

Home Church Name *

Your Pastor's Name *

Please Select $90.00 (Cost) $150.00 (Cost)

Payer Name

Address

Address Line 2

Billing City

State

ZIP

Billing Country

*I agree with the Terms and Conditions set forth by Grace Community Church, Sun Valley, California

Payment Method

Pay securely with credit/debit card, PayPal, Venmo, Apple Pay, or Google Pay.