Creation Certified Registration Form
We appreciate you expressing an interest in Creation Certified and look forward to working with you.
Name *
Your answer
Ministry Name *
If an individual, put "N/A"
Your answer
Telephone # *
Please enter as follows: (XXX)-XXX-XXX
Your answer
Country of Origin *
Your answer
E-Mail Address *
Your answer
Which of the following programs are you registering for? *
To learn more about our two different programs, please visit: https://creationcertified.weebly.com/the-process.html
Required
Which of the following services are you interested in? *
To learn more about available benefits, visit https://creationcertified.weebly.com/benefits.html.
Required
Are you a member of The International Association For Creation? *
Required
If you are a member of The International Association For Creation, please indicate the organization name of which you are a part:
Your answer
If "No" to the above, do you agree to the IAC Statement of Faith (http://associationforcreation.weebly.com/our-beliefs.html)?
Referral
Please let us know how you heard about Creation Certified, thank you!
Your answer
Cookie Consent Notice *
This site uses cookies to offer you a better browsing experience. Learn more about how The International Association for Creation uses cookies by reviewing our Privacy Policy, along with our Cookie Policy therein (READ PRIVACY POLICY HERE: http://associationforcreation.weebly.com/terms-of-use--privacy-policy.html).
Required
Age Verification Process *
By submitting this form you verify that you are the age of majority within your jurisdiction (US: 18 years of age; EU: 16 years of age); if you are a minor, under the aforementioned age of consent, by agreeing, your parent or legal guardian is acknowledging that they have reviewed our Privacy Policy (READ PRIVACY POLICY HERE: http://associationforcreation.weebly.com/terms-of-use--privacy-policy.html) and consents to the collection and process of personal data contained herein.
Required
By providing your electronic signature below, you consent to being contacted regarding your registration for Creation Certified. *
Below, please type your full name, as it appears on your driver's license or government-issued identification card. This will serve as your signature, certifying that, under the penalty of perjury, the above is accurate and true.
Your answer
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