KingdomLife School Registration Form
Fill out the registration form carefully and accurate because most of the information provided will be used at the end of this course for your certificate and recognition. Thanks.
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Personal Information
Full Name *
Address *
(Street Address)
City *
Province *
Postal Code *
Phone *
(xxx) xxx-xxxx
Email Address
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
(xxx) xxx-xxxx
Gender *
Are you Born Again? *
If born again Since when?
Statement of Interest *
Please state clearly and briefly why you are interested in this program and what your expectations are
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