Congregational Leadership Academy Registratioin

This registration form is to be completed by the team of persons you have selected to participate for your congregation. When you have completed the items below, simply hit "send". Your Tuition fee is due by December 31. If you have any questions, please contact

Pastor Stan Meyer or Pastor Jane Mar.

•

* Required information.

For submitting your data don't fill this following email field:

Congregation *

City *

State *

PASTOR: Name, Phone, Email *

Team Member #2 (lay or rostered): Name, Phone, Email *

Team Member #2 - Leadership position in the congregation. *

Team Member #3 (lay): Name, Phone, Email *

Team Member #3 - Leadership position in the congregation. *

Team Member #4 (lay): Name, Phone, Email

Team Member #4 - Leadership position in the congregation.

Team Member #5 (lay): Name, Phone, Email

Team Member #5 - Leadership position in the congregation.

Team Member #6 (lay): Name, Phone, Email

Team Member #6 - Leadership position in the congregation.

How will your Team's participation be funded? *

By the congregation

By the participant

By another source

OTHER Any additional comments or questions?

Northern Texas - Northern Louisiana Mission Area, ELCA

1230 River Bend #105 • Dallas, Texas, 75247

MissionOffice@ntnl.org • 214.637.NTNL (6865) • 214.637.4805 (Fax)

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