Covenant Community Ministry
presents the
Covenant Community School of Biblical Studies
Weekend intensive course to earn "Diploma in Applied Pastoral Studies" in the Academic Discipline of
Contemporary Evangelical Ministry
Option # 1
Includes all course materials, all meals and lodging at "Shelterglen"
for three nights (Thursday, Friday and Saturday night) -
$
329.oo
Option # 2
Includes all course materials, and meals for the entire agenda –
$
239.oo
Option # 3
Includes all course materials (Meals may be bought separately as desired) -
$ 179.oo
Enrollment Form
NAME_______________________________
E-mail ______________________
ADDRESS______________________________________
CITY ______________ STATE____ZIP________
PHONE (____)____________________
Church ________________________
Will your spouse be attending?
q Yes q No Take 20% off any option for your spouse if you attend together.
Your Choice
qOPTION # 1 qOPTION # 2 qOPTION # 3
Spouse’s Choice
qOPTION # 1 qOPTION # 2 qOPTION # 3
If you choose OPTION # 3 you may select which meals you would like :
qOpening Banquet(Thursday)$15 qBreakfast(Friday)$7
qLunch(Friday)$10 qDinner(Friday)$15 qBreakfast(Saturday)$7
qLunch(Saturday)$10 qGraduation Banquet(Saturday)$20
q
Check enclosed in the amount of $ _______________________
q
Charge to my VISA/MASTERCARD Exp. Date _____/_____
__________________________________________________
Signature of Cardholder
CARD NUMBER
PLEASE PRNT AND MAIL COMPLETED FORM ALONG WITH REMITTANCE TO:
Covenant Community Ministry P.O. Box 750491 Dayton, Ohio 45475
Register by phone
(937) 572-8636
When we recieve your registration, we will forward a map and directions of the location of our Shelterglen
facility in Miamisburg, Ohio
