Kingdomology Registration Form
Registration fee $150
Thursdays at 7:00 PM {EST}
Payable via
CashApp: $MINDOCI (PREFERED METHOD)
Zelle: mocicotek@gmail.com
To ensure payment is applied correctly to your student account please notate the following in the memo/note section of your payment
  • Your Name
  • Course Name ( due to space limitations you may abbreviate this)
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Date
MM
/
DD
/
YYYY
NAME *
E-mail *
TRACK *
Required
ADDRESS (APT #, CITY, STATE, ZIPCODE) *
TELEPHONE (HOME, WORK, CELL) *
TERM YEAR *
SEMESTER *
LOCAL ASSEMBLY *
SPIRITUAL LEADER *
EMERGENCY CONTACT (NAME, RELATIONSHIP, TELEPHONE) *
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