Lay Workers Training Application Form

Please note that ALL required fields are indicated using the asterick (*).

• Name of Church *

  Enter the name of your church.
• Full Name *

  Enter the name of the attendee.

  Title

  First Name

  Middle Name

  Last Name
• Phone Number *

  ### ### ####
• Email Address *

  Enter you email address.

  jbrown@domain.com
• Office Held: *

  Select the office you hold.

  Superintendent

  Teacher/Care Coordintator

  Bible Instructors

  Lay Preachers
• This person is a: *

  Chose the status of the attendee.

  Delegate

  Non-Delegate
• Accommodation Required *

  Choose if the attendee needs accommodation.

  Yes

  No
• Payment *

  Select the amount you desire to pay.

  $1,000.00 $1,250.00 $1,500.00 $2,000.00 $2,500.00
• Security Code*

   

• Please fill out all the required fields!
• Submit