Registration Form

The seminar will take place at the National Christian Conference Center in Valley Forge.
Training begin Sunday night at 7:00PM and concludes Friday afternoon at 4:00PM

Tuition plus room and board for this six-day residential seminar is:
              $600 : rate before 8/1 for members of Building One America and qualified candidates
              $750: rate after 8/1 for BOA members and qualified candidates
              $1200: rate before 8/1 for non-members
              $1500: rate after 8/1 for non-members

Please make check payable to Good Schools Pennsylvania and mail to:
Good Schools Pennsylvania
6757 Greene Street
Suite 310
Philadelphia, PA 19119.

For more information contact 215-332-2700.

* Name of participant:
(include preferred title)
Address:
City:
State:
Zip:
Work Phone:
Home Phone:
Cell Phone:
* Email:
Organization or congregation:
Position:
How you heard about the seminar:
Gender: Female
Male
Preferred roommate:
(name)
Single Room preference?:
(extra cost of $200 for week – limited availability)
Special dietary needs or other concerns?:
Unique arrival or departure time?:
(please explain)