Registration Form

Start: Monday 30th January NZST

(Classes every Monday 7pm, Thursday 7pm and Saturday 11am).

Title (Rev, Ps, Fr, Mr, Dr, Mrs, Ms)

First Name(s)

Last Name

Nationality

Date of Birth

Church Name

Phone Number

Your Position within Church (i.e. Pastor, Elder, Church Manager)

Congregation Size

Church Address (Suburb, City, Postcode (eg. Mt Eden, Auckland, 1041)

So that we can improve on our communications

Referred by

Language Spoken

By enrolling in the REVIVE course you commit to attending the online lessons three times a week for the duration of the course (~10 months) at the time slots chosen and arranged with your course facilitator unless otherwise arranged due to unforeseen circumstances as and when discussed with the participant’s course facilitator.
The processing and use of your personal information for administrative purposes of the “REVIVE Advanced Theology Course for Pastors” will be handled in a way that complies with all the relevant laws and your rights to privacy will be protected as required by law.