“Wading In” Coaching Experience Registration & Order Form

Church Name *

Church Address *

Address Line 1

Address Line 2

City

State

Zip Code

Church Phone *

Church Website / URL *

Participants

A Minimum of 5 Participant Names Must Be Provided with a Maximum of 7 Participants Total. Please provide the Participant Names, Position and Email Below:

Participant 1 *

First

Last

Position *

Email *

Email

Confirm Email

Participant 2 *

First

Last

Position *

Email *

Email

Confirm Email

Participant 3 *

First

Last

Position *

Email *

Email

Confirm Email

Participant 4 *

First

Last

Position *

Email *

Email

Confirm Email

Participant 5 *

First

Last

Position *

Email *

Email

Confirm Email

Participant 6

First

Last

Position

Email

Confirm Email

Participant 7

First

Last

Position

Email

Confirm Email

Order Below:

Please Select the "Wading In" Coaching Experience and the number of books needed. (A minimum of 5 participants is required, maximum participants is 7.)

“Wading In” Coaching Experience – $1000 Less $600 Paid by Grant – Church – $ 400.00
5 – Inside Out : Everting Ministry Models for the Postmodern Culture + Shipping – $ 107.70
1 Addtl – Inside Out : Everting Ministry Models for the Postmodern Culture + Shipping – $ 18.95
2 Addtl – Inside Out : Everting Ministry Models for the Postmodern Culture + Shipping – $ 40.90

Total

$ 0.00

Please Provide A Preferred Day and Time for Your Coaching Sessions in the Space Below(ie: Mondays at 2:00 pm):

________________________________________________________________________________________________________________

Please provide any additional information you feel necessary to complete your registration.