ILI Registration Form

ILI Registration Form

Please complete one registration form per person attending.
ILI Training April 30th - May 2nd

New Covenant Church

1710 W Douglas Ave

Wichita, KS

Cost is $30 per person

Thursday, April 30th - 8:30am - 6pm

Friday, May 1st - 9am - 6pm

Saturday, May 2nd - 9am - 1pm

Lunch will be provided on Thursday and Friday

*You must attend all the session to receive your certificate.

Please bring your bible!
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Mobile Number*
Format: (000) 000-0000.
Church Name*
YesNoN/A
Please use the drop down list to select Food Allergies. *

ILI Registration*

Registration

$30.00 Quantity
Item subtotal:$0.00

Total

$0.00