ILI Module 1 Registration Form

ILI Module 1 Registration Form

Please complete one registration form per person attending.
ILI Module 1 Training

Location:

Ness City Methodist Church
316 N. Pennsylvania
Ness City, Kansas 67560

Cost is $30 per person

All three Saturdays must be attended:

Saturday, September 26th, 8:30 AM to 4:30 PM

Saturday, October 31st, 8:30 AM to 4:30 PM

Saturday, November 14th, 8:30 AM to 4:30 PM

Lunch is provided each Saturday.

*You must attend all three sessions to receive your certificate.

Please bring your bible!
Name

First NameLast Name
E-mail
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Mobile Number
Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Church Name
The Heartland Conference’s Board of Ministry has approved ILI History Makers Modules 1 and 2 as eligible coursework for advanced credit toward the Conference’s Certified Lay Ministry (CLM) training program. Please check this box if you would like to apply your completed coursework toward CLM credit.
Please use the drop down list to select Food Allergies.

Registration

$30.00 Quantity
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