Form

Registration Form - Baptism and Beyond: Scaffolding a Life of Discipleship

April 11-13, 2013
Title
Full Name*
First Name
....*
Middle Initial
....*
Last Name
Name to be used on Name Tag*
Gender

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail*
Phone Number*
- Area Code Phone Number
Phone Type*
Phone Number
- Area Code Phone Number
Phone Type
Church Membership
Denomination
Include my contact information on roster handout*
Please let us know if you are:

Full Time CTS Faculty Full Time CTS Staff Full Time CTS Basic Degree Student Certificate in Spiritual Formation Graudate Spouse of Full Time CTS Faculty, Staff, Basic Degree Student None of the above
Do you need seminary housing for this course?*

Yes No
Seminary Housing Registration

$49 plus tax per person, per night, single occupancy. $32 plus tax per person, per night, double occupancy.
Arrival date:*
Departure date:*
Occupancy*
Name of preferred roomate
Registration and Payment Options

A non-refundable, non-transferable deposit is required at the time of registration.
Course Fees: Choose the fees you would like to pay at this time. (Deposit required.)

50.00 program deposit $175.00 Full Program Fee (Includes Deposit) $165.00 two or more from same group
Discounted Fees For CTS Full Time Faculty/Staff/Basic Degree Students & Spouses

$85.00 FT Faculty/staff/Adv. Degree Student Discounted Fees $0.00 CTS FT Basic Degree student/spouses
Housing Fees: By entering your housing options above, you are requesting housing reservations. By selecting a fee below, you are indicating you would like to pay for the reservations now.

$68.48 - Housing 2 Nights (Thursday April 11 - Saturday April 13 Double Occupancy, tax included per person $104.86 - Housing 2 Nights (Thursday April 11 - Saturday April 13) Single Occupancy (if available), tax included $102.72 - Housing 3 Nights (Wed. April 10 - Sat. April 13) Double Occupancy, tax included, per person $157.29 - Housing 3 Nights (Wed. April 10 - Sat. April 13) Double Occupancy, tax included, per person if available
Credit Card Type
Name on Credit Card
Credit Card Number
Expiration Date
Security Code
Please print a copy of this registration for your records before pressing SUBMIT.

You will receive a confirmation including a receipt within 2-3 business days.
Columbia Theological Seminary
The Center for Lifelong Learning
701 S. Columbia Dr.
Decatur, GA 30031
Phone: 404-687-4577
Fax: 404-687-4591
LifelongLearning@ctsnet.edu
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Registration Form - Baptism and Beyond: Scaffolding a Life of Discipleship

Seminary Housing Registration

Registration and Payment Options