DOS Registration

Disciples of Scripture: Season 4

Name*
First Last
Age*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
Do you have a home Church?*
- Yes
- No
Church*
Are you a student?*
- Yes
- No
Name of School*
Acknowledgment*
- I have read and agree to the the description of this program and acknowledge that I will be available each Wednesday at 9:00PM EST to join the teaching session via video conference.