Refuge NC Bible Institute Spring 2026 Registration Form

Full Name* This field is required.Enter your name

First Name

Last Name

Are you a new student?

E-mailPlease provide the best email address to send you information. Upon completion, please click Send Verification email. Then go to the email address, find the verification email, and follow the directions.

example@example.com

AddressOnly new students and students whose address has changed since their last registration need to fill out this section. If this does not apply, type N/A in the first street address line, then leave the rest blank.

Street Address

Street Address Line 2

City

State

Zip Code

Country

Phone NumberPlease provide the best phone number to reach you. We will only use this information for academic purposes.

Enter your home or mobile phone here.

Do you belong to a local church or Christian organization?For our benefit, we would like to know more about their local church affiliations. We only use this information internally.

YESNO

Name of Applicant's Local ChurchIf you chose YES for the previous question, please provide the name of the local church in which you serve. Otherwise, leave blank.

Organization or church name

Fee Policy

Payment is due before the first day of class.

Students can pay for classes in the sign up form, or choose to receive a bill for payment.

Special considerations will be made for students who request for an extension or request a waiver.

Go to https://refugencbible.org/wp-content/uploads/2026/01/Student-Fee-Extension-Waiver-Form.pdf to fill out the request form.

Refund and Withdrawal Policy

You will only be able to receive a refund the first full week of classes. If you withdraw for a classes after the first week, you will forfeit your tuition.

To withdraw from a class, a formal request must be sent via email to info@rtncbi.org with the subject: Withdrawal Request. Include the class name in the subject and body.

Refunds will be sent from our Square account back to the account of origin.

Please send any questions about accounting to info@rtncbi.org.

Do you wish to pay for courses now?* This field is required.

YESNO

Instructions for Course Selection- Pay Now

Select your classes.
After you selects classes, enter a coupon number if you have one. If you wish to pay now, select step 3. Otherwise, go to step 4.
Enter credit card information.
Click Next at bottom of form.

Spring 2026 Pay Now Course SelectionSelect all classes you wish to take. Enter credit card information or Cashapp Information

My Bag

Apostolic DoctrineStandard fee. Course without textbook.
$45.00Edit
Back
Apostolic Doctrine with TextbookCourse fee with textbook included. Bible Institute will order and send book.
$75.00Edit
Back
Introduction to DanielStandard fee. Course without textbook.
$45.00Edit
Back
Introduction to Daniel with TextbookCourse fee with textbook included. Bible Institute will order and send book.
$75.00Edit
Back
Christian LeadershipCourse fee with textbook included. Bible Institute will order and send book.
$75.00Edit
Back

Payment Methods

Credit Card

First Name

Last Name

Cash App

After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.

Google Pay

After submitting the form, you will be redirected to the Google Pay to complete the payment process.

Apple Pay

After submitting the form, you will be redirected to the Apple Pay to complete the payment.

ACH Bank Transfer

Account Holder Name

For students who choose to pay later.

Select courses you are registering to take.
Enter a discount coupon number if you received one. Otherwise leave blank
Fill out the remainder of the form and submit.
The Bible Institute will send you an invoice.
Once you receive the invoice, pay
1. Cashapp account: $RefugeNCBibleInstitute
2. Paypal:Refuge Temple NC Bible Institute
3. You can also send tuition with a check by mail to:

Refuge Temple Bible Institute
PO Box 3552
Burlington, NC 27215

Course Selection Pay LaterChoose all classes you wish to attend. After the completion of your submission, the Bible Institute will send you an invoice via Square. Payment for classes will be made by one of the pay later options in Instructions for Payment section.

Apostolic Doctrine- $45.00 USD

Apostolic Doctrine with Book- $75.00 USD

Introduction to Daniel- $45.00 USD

Introduction to Daniel- with Book- $75.00 USD

Christian Leadership- $75.00 USD

Pay Later- Enter CouponIf you received a discount coupon, enter the coupon number here. Otherwise, press NEXT

Enter coupon text here if applicable

Terms and Conditions* This field is required.Click box to agree to terms and conditions. If you opt to, click the link to review the terms and conditions before agreeing.

Instructions for Course Selection for Students Paying Later

Select the courses you are registering to attend.

Complete the submission of the registration form.

The Bible Institute will send you an invoice.

Once you receive the invoice, pay

Cashapp account: $RefugeNCBibleInstitute
Paypal:@rtncbi
You can also send tuition with a check by mail to:

Refuge Temple Bible Institute
PO Box 3552
Burlington, NC 27215

SignatureClick on the line to sign the form. Afterward, click Submit

Clear

Submit your enrollment form. You will receive a confirmation email from info@rtncbi.org.

Refuge NC Bible Institute Spring 2026 Registration Form