Church Name
*
Pastor Name
*
Phone Number
*
Email Address
*
Address
Church Enrollment - $100.00
Adult Registration - $10.00 (per person per course)
Youth Registration - $3.00 (per person per course)
Individual or Non-church Sponsored Enrollment - $20.00
Out of District Messengers - $20.00 for NBC (Nurture for Baptist Churches)
Date
*
Total Payment - (Note: Form will route to Paypal for processing after clicking submit. Payments are also accepted by Givelify & Cashapp by clicking the 'Give' button on the home page.)
Delegate Name(s), Email Address & Course #:

Congress Registration Form