EmailMe Form - 2022 Chaplaincy Training Registration

Your name *

First Last

Your email address *

You will receive a confirmation of your registration sent to this email address.

Your Phone # *

### - ### - ####

Home Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Currently Serving as a community chaplain?

Yes

If currently serving, in what capacity?

Comments

CLASS FEES

Fees per person: $200 (Substantial Savings)
Please send fees per person to:
Church of God of Prophecy
ATTN: Chaplaincy Certification
211 Columbia Avenue
Cedartown, GA 30125

IF YOU PREFER TO PAY ONLINE,
A LINK WILL BE PROVIDED IN YOUR CONFIRMATION EMAIL.