Jackson's Ridge

Thank you for your interest in attending training at Jackson's Ridge. Please complete the following information in order to register for training:

Note: Information indicated by an asterix (*) is compulsory.

Church/organisation*
Suburb, town*
First name*
Surname*
Email address*
Cell phone number*
Telephone number

Training*

Time* 16:30-22:00

Closing date for registration* 23 Jan 2019

Number of delegates attending per seminar*

Seminar	Number attending	Course fee	Total
Children’s Pastors and Workers Retreat (16:30 - 22:00)		R 260.00	R 0.00

TOTAL ATTENDING	TOTAL COST	TOTAL PAID	TOTAL OUTSTANDING
0	R 0.00	R 0.00	R 0.00

Details of delegates attending*

Select the number of delegates by using the list in the previous question