JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Justice Discipleship Cohort Registration
This cohort will be held on Friday, October 25th - 26th in Atlanta, GA at the SEC Office
Address:
575 Travis St. NW, Atlanta, GA 30318
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Church Name
*
Your answer
City, State
*
Your answer
Cohort Team
Please fill in blanks below
1. First and last name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Gender
*
Female
Male
2. First and last name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Gender
*
Female
Male
3. First and last name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Gender
*
Female
Male
Do you have any food allergies?
*
Your answer
Any dietary restrictions?
*
Your answer
I will pay my registration fee...
*
Via check that I will mail to: Southeast Conference of the ECC, P.O. Box 950411, Atlanta, Georgia 30377
Online with a checking account, Visa, Discover or MasterCard :
http://www.covchurchgiving.com/p-3312-justice-cohort.aspx
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Southeast Conference.
Report Abuse
Forms
