Counseling Training Registration Form
To register for any of our Training Classes, please fill out the form below for each person registering.
Email address *
Home Church Name, Address and Pastor *
Your answer
Your First and Last Name *
Your answer
Street Address *
Your answer
City, State and Zip *
Your answer
Phone Number *
Your answer
How did you find out about this training?
Your answer
I am registering for the following Courses: *
To make payment
To make your payment for this course, please send check to Clearcreek Chapel Counseling, P.O. Box 327, Springboro, OH 45066 OR: go to
and click on the Registration payment button under Our Programs to use your credit card.
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