Course Registration Form

OLGH CGS Course Registration Form

First name

Street Address

City

Have you received a certificate at this level?

Yes

Are you Registering as a commuter?

Yes

N/A

Last name

Apt.

State

Zip

Parish

Phone

Parish City, State

Diocese

Are you Currently serving in an Atrium?

Yes

Course Site (for your highest level of formation)

Course Number (for your highest level of formation)

Course Site City, State (for your highest level of formation)

Formation Leader (for your highest level of formation)

Course Completion Date (for your highest level of formation)

Nuestra Señora del Buen Socorro CBP se reserva el derecho de cancelar un curso si no se cumple con la inscripción mínima antes de la fecha límite de inscripción. En caso de cancelación del curso, se reembolsará íntegramente la matrícula del curso.

Las cancelaciones de inscripción después de la fecha de inicio del curso están sujetas a un reembolso parcial.

El depósito de matrícula del curso de $100 no es reembolsable y los participantes deben pagar el saldo antes de la fecha límite indicada en el folleto del curso.

I have read and agree to the above

Thank you for registering, further communication with balance and formation details are forthcoming. We look forward to seeing you.