Caribbean Registration

Community Service Chaplaincy Training Registration

Caribbean Registration - Level One

First Name:

Middle Initial

Last Name:

Email:

Phone:

Ministerial Number:

Mailing Address:

Country

Info

Registration Fee:

Individual: $150

Fee includes certification, training, and ID card. If paying via PayPal, first complete this form and click the "Submit Registration" button below, then use the PayPal button to pay.

A deposit of at least $50 is required in order to receive your course materials.

The remaining balance must be paid in order to recieve certificate and ID card.

I am paying via label

I am paying via:

I am paying via:

PayPal

Check

Mail Checks to:

Mail Checks to:

COG CSC

900 Walker St. NE

Cleveland, TN 37311

In order for us to receive your registration, you must click "Submit Registration" below before paying via Paypal.