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ONLINE REGISTRATION To register by mail click here

Student

First Name

Last name

Address

City

State

Zip Code

Home Phone

Cellular

e-Mail

Parent

(Only if student is a minor)

Parent 1 Name

Address

Work Phone

Cellular

Parent 2 Name

Address

Work Phone

Cellular

Church Affiliation

Pastor's Name

Classes

(Please choose one) Spaces Left

First time students
will be charged a
registration fee of
$25.00

6 - 8

9 - 11

12 - 14

15 - 17

Adult Beginning I (REGISTRATION CLOSED)
(all new students should enroll in this class)

Adult Beginning II

Intermediate I

Intermediate II

Academic Classes (8weeks)

Biblical Beg. Adult / AIC

Biblical 2nd Year / AMC

Biblical 3rd Year / Advanced

Emergency Contact

Name

Relationship

Phone

After you click submit you will be taken to the payment page. we use Pay-Pal as our payment processor and you do not need to have a Pay-Pal account.

The McIntyre Institute and The JEDAH Company™