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To register for Covenant Gathering 2013:
1. Complete the Fee Calculator Form (you Must upload this form as part of the registration process).
2. Please complete the information in this form.
3. Review information prior to pressing the Submit button.
4. After the Submit button has been pressed you will be asked to pay for your tuition via PayPal. Please remember to add 3% to cover the fees charged by PayPal.) |
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| Please upload your Fee Calculator file (*) |
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| Name (*) |
Please enter your name |
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| Email (*) |
Please enter an email address we can reach you at |
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| Phone Number(s) |
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| Address |
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| Church Name & City |
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| Presbytery or Denomination |
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| Specify any physical considerations |
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| Housing Preference (*) |
Please select housing choice |
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| If you wish to share housing, please indicate family |
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In the box below enter the following information for each adult in your group:
- Name
- Age Group •18-25 •26-35 •36-50 •51-65 •66-75 •76+,
- Male/Female
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| Adult Name, Sex, Age Group (for each adult) |
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ADULT COURSE OPTIONS
Choose one from group A and one from group B for each adult
GROUP A COURSES:
- 101 Season in the Wilderness: Exodus and the 21st Century Church
- 102 Season of Growth: Inspiring Youth in Mission
- 103 Season of Song: Hymns and the Church
- 104 Season of Grace
GROUP B COURSES:
- 201 Season of Beauty: The Artistic Value of "Value"
- 202 Season of Worship: Music and Media
- 203 Season of Spirit: Praying Out Loud
- 204 Season of Care:The Social Creed for the 21st Century
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| Course Number(s) for each Adult |
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| OK to use photos of you and/or your family for PR purposes? |
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| Gifts or skills you could offer the community? (If interested in singing in choir, include part sung) |
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In the box below please enter the following information for each child under 18 in your group:
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Name
- Age
- Birthdate
- Male/Female
- Grade complete Spring 2013
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| Child Info |
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CHILDREN AND YOUTH COURSE OPTIONS (grade completed)
Choose one for each child or youth.
- 001 Birth through Age 2
- 002 Ages 3 to 5
- 003 Grades K to 1
- 004 Grades 2 to 4
- 005 Grades 5 to 7
- 006 Grades 8-12
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| Course option for each child |
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| Total Amount owed: $ (*) |
Please enter a numeric value. Do not include the '$' or ',' symbols. |
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| Payment Method (*) |
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If mailing a check, please send to
David Fleming, Covenant Gathering Registrar
406 Silvercrest Terrace
Beavercreek, OH 45440
937-429-5366 |
| Enter amount - full payment or 50% deposit (if this is a hardship contact Ruth Fish ). Please add 3% if using PayPal. $: (*) |
Enter numeric value. Do not include the '$' or ',' symbols. |
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