Register for CSC Course

Community Service Chaplaincy Training Registration

Level One Training- Florida 2025

First Name:

Middle Initial

Last Name:

Email:

Phone:

Street Address:

City:

State/Province:

Zip/Postal Code:

Country

Info

Registration Fee:

Both Levels:

Individual: $450

Married Couple: $675

Level One:

Individual: $360

Married Couple: $510

Level Two:

Individual: $300

Married Couple: $475

Fee includes certification, background check, 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 registering for:

I am attending:

Spouse's Name:

Spouse's Email:

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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.