ClassRegistrationFormZOOM

NEW HOPE MBC-SOUTHFIELD BIBLE INSTITUTE AND DISCIPLESHIP TRAINING CENTER
CHRISTIAN LEADERSHIP SCHOOL (CLS)

REGISTRATION FORM

FALL 2023 INSTITUTE CLASS SELECTION

#8066 Christianity and Contemporary Issues #6021 Spiritual Formation

TODAY'S DATE

STUDENT'S NAME

Title, First, Middle, Last

STUDENT'S NUMBER

For current COPP students who already have number

AGE GROUP

Adult (Age 26+) Young Adult (Age 18-25) Youth/Teen (Age 13-17) Child (Age 3-12)

ADDRESS

CITY

STATE

ZIP CODE

Phone Number

Format: (xxx) xxx-xxxx

Email

CHURCH HOME

CHURCH ADDRESS

PASTOR'S NAME

DISTRICT