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Enrolment Consent Form
Personal Details
Given Name(s):
Surname(s):
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Date of Birth (mm/dd/yyyy)
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Email:
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Phone Number:
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I am a/an:
New student
Existing student
I only want to attend the seminar ($990 payable on invoice - no Fee-Help option available)
Payment Method:
Upfront ($2710)
Fee-Help - subject to eligibility ($2710)
Enrolment Consent
I agree to be enrolled in LEA403 Raising Christian Leaders at Alphacrucis University College in Summer School 2023.
Please sign here
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Date (dd/mm/yyyy)
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