DanielRevelationWEB

Registration Form:

Classes Meet Sunday Mornings At 9:30 - 10:30 AM

Lighthouse Baptist Church: 1310 W. Betteravia Road, Santa Maria, CA 93455 • If you have questions, call 1.805.714.7731

MissionaryPastorAssistant PastorFull Time Christian WorkerBible TeacherOther Christian WorkerCollege StudentOther

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Your Name (required)

Your Email (required)

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Mailing Address For U.S. Students

House number and Street

City

State

Zip Code

Mailing Address For Students Outside the U.S.

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Contact Number For U.S. Students:

Separate number sets by a hyphen

Contact Number For Non U.S. Residents:

Please Include Country Code and separate number sets by a hyphen:

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Name of Your Church

Name of Your Pastor

Does Your Pastor Approve You Taking This Course?

YESNO

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How Will You Be Participating In This Course? (Must Select At Least One Option)
Attending Live Classes at the Lighthouse

Viewing Classes Via Live Stream:
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Will You Be Making A Minimum Donation of $20 to Cover Costs?

Your Message


After you SEND this registration:

The form will reset to blank. That's okay, your registration has been sent.

After You SEND your registration, you may process Your Donation:

if you have decided to make a donation to help cover costs of the materials, please process that donation by clicking on the DONATE button at the top right of this page. THE RECOMMENDED DONATION IS $20 FOR THIS COURSE.

If you have decided to wait until later, close this page, you are all done! (Of course, for those who cannot afford to make the minimum suggested donation, the Lighthouse Baptist Church is pleased to cover those costs on your behalf! God bless!