Non-Traditional Church School Registration

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Choose one of the following options:

First Fall Session
First Winter Session
First Spring Session
First Summer Session
Second Fall Session
Second Winter Session
Second Spring Session
Second Summer Session

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Enter your Course Information in the space provided below.

Send payment to Registrar‘s Office, Shiloh Meeting and Conference Center (SMCC), 1400 Duke Street, Alexandria, VA