Registration Complete this form to register for NICL sessions. Required fields are marked with an "". To register by phone please call David Manning at 407-333-7138. Have a Group ID? (optional) If you are joining a group and you have the Group ID code please enter it here and click Apply: Apply Registered members of your group: Welcome Guest You've been invited to attend the NICL as a guest. You can attend all the sessions or just the ones you want. However, if you would like college credits then you must attend all four sessions. Please fill out the form below to complete your registration. Thanks! Plans and Locations Select a plan. If you choose to attend the one-week intensive in Florida or Texas, you do not have to attend the optional session (Communication and Worship). However, if you wish to receive a Certificate of Completion from the NICL and/or college credit, then attending this optional session is mandatory. Please note: The optional session will only be offered during the month of November in Gainesville, GA in 2018 and beyond. Florida Oct. 30 - Nov. 1 2017 Optional session Communication and Worship Florida Intensive Feb. 19-23 2018 Three sessions over 5 days Strategic Growth, Change Dynamics, Transformational Management Select Texas Nov. 6-8 2017 Optional session Communication and Worship Texas Intensive Apr. 16-20 2018 Three sessions over 5 days Strategic Growth, Change Dynamics, Transformational Management Select Florida Intensive Feb. 19-23 2018 Three sessions over 5 days Strategic Growth, Change Dynamics, Transformational Management Georgia Nov. 12-14 2018 Optional Session Communication and Worship Select Texas Intensive Apr. 16-20 2018 Three sessions over 5 days Strategic Growth, Change Dynamics, Transformational Management Georgia Nov. 12-14 2018 Optional Session Communication and Worship Select Georgia Sept. 25-27 2017 Transformational Management Georgia Nov. 13-15 2017 Optional Session Communication and Worship Georgia Feb. 26-28 2018 Change Dynamics Georgia Apr. 23-25 2018 Strategic Growth Select Would you like to attend the "Communication and Worship" session for free before purchasing the entire course? You're welcome to join us. For details contact David Manning at 407-333-7138 or by email. Payment Options Choose how would you like to pay: Pay in full with a credit card All major cards accepted. select this option Pay in full with a check Pay $300 now with a credit card. Pay theremainder with a check. select this option Choose how would you like to pay: Pay in full with a credit card Fast and secure, this is your best option for single sessions. select this option Pay in full with a check Checks must be received two weeks prior to the session you selected. select this option Choose how would you like to pay: No payment nessessary, this one's on us! Promo Codes(optional) Have an NICL Promotion Code? Enter it here and click apply: Apply Review your balance Student Details First Name Last Name Name for Certificate Your name as you'd like it to appear on your certificate of completion at the end of the course. Gender MaleFemale Title/Position Organization/Church Name Street Address City State/Province Zip/Postal Code Phone Email Will your spouse be attending? YesNo Spouse's Name Spouse's Name for Certificate (optional) Your spouse's name as he or she would like it to appear on the certificate of completion. Certificates & Credit Hours:To obtain a certificate of completion and/or college credit hours, you, your spouse or the members you bring from your staff must attend all four sessions. Do you plan to pursue university level credit hours for these classes? YesNo Does your spouse plan to pursue university level credit hours for these classes? YesNo Billing Details Please enter your credit card information: Credit Card Number Security Code What's This? Expiration Date Month 01 - Jan 02 - Feb 03 - Mar 04 - Apr 05 - May 06 - Jun 07 - Jul 08 - Aug 09 - Sep 10 - Oct 11 - Nov 12 - Dec Year 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Name on Card The address associated with my credit card is different from the address above. Billing Address Street Address City State/Province Zip/Postal Code Terms and Conditions I understand that I am paying for advanced Christian leadership education. As the Attendee or the representative of the Attendee(s), it is our responsibility for attending each session registered for on this form. I understand that there is a 100% Money Back Guarantee. If not fully satisfied with the content during the first session only, I may request a full refund. It is understood that refunds will not be issued for missed sessions. I agree to the terms and conditions Complete Registration Thank you for allowing us to help you grow your leadship skills. Click the button below to complete your registration. Your credit card will be charged at this point. Thank you for allowing us to help you grow your leadship skills. Click the button below to complete your registration. Please complete the missing required sections (above). Required fields have a "" icon next to them
