Renfrew Counseling & Training Center Registration

If you would like more information on our training center or if you are registering for classes please fill out this form and one of our team will follow up with you!

Name

*

Date of Enrollment

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Training I am pursuing (Check what applies)

*

Please select all that apply.

In-depth Discipleship IABC Certification Pastoral Training Replant training

Training Format

*

Please select one option.

Zoom/Online In person

Payment for Books

Paid in person/Sponsorship (0.0) Auditing Only (0.) Books ($40.00) Books & Membership ($100.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

If you would like more information on our training center or if you are registering for classes please fill out this form and one of our team will follow up with you!

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