Registration Form:

Sunday Mornings At 10:45 - 12:00 Noon

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


Please Provide Your Name and Email Address

Your Name (required)


Please Provide Your Mailing Address

Mailing Address For U.S. Students

House number and Street



Zip Code

Mailing Address For Students Outside the U.S.


Please Provide Your Contact Number

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:


Please Tell Us About Your Church

Name of Your Church

Name of Your Pastor

Does Your Pastor Approve You Taking This Course?



Please Tell Us How You Will Participate In The Class

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:

Will You Be Making A Minimum Donation of $10 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 $10 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!