5-Day Academy for Spiritual Formation

*First Name
*Last Name
Preferred Name
Address 1
Address 2
City
State
Zip
Phone
*Email
*Participant Type
Clergy
Layperson
*Current Occupation
*Home Church
*Age Group
25-29
30-39
40-49
50-59
60-65
66-75
76+
*Is this your first Academy?
Yes
No
Please indicate one or more areas of interest:
Worship
Singing
Musical instruments
Small group facilitation
If you checked musical instruments above, what instruments do you play?
*Would you be willing to share your abilities during the Academy?
Yes
No
*Do you have any dietary needs or restrictions?
Yes
No
If you answered yes above, please list specifics.
*Do you have any special housing needs?
Yes
No
If you answered yes above, please list specifics.
Deposit is required.

Your registration is not confirmed until $50 deposit is received.You can choose the amount you wish to pay on the next screen.

 

None
Deposit ($50)
Tuition ($599)
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