La First Jurisdiction | USAC 2018 - Registration

Elder Jeffrey Williams, Jurisdictional Registrar

****All Registration fees include a $2.50 convenience fee****
$17.50 (Ages 0-11) $27.50 (Ages 12-14) $37.50 (Ages 15-17) $52.50 (Ages 18+)
A $10.00 Late Registration Fee will be assessed after June 23, 2018 11:59p.m..
ID Number
If you have a ID Number please enter it here otherwise proceed to the next field
Registration Type*
Title*
Name*
First Last Suffix
Home Phone*
Cell Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Please select your District*
Please select your Church*
What is your Pastor's Name?*
Please Select Your Requested Training Module
First Choice*
Second Choice*
Second Choice*
Second Choice*
Second Choice*
Second Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Third Choice*
Are you a USAC 2018 Staff Member
Is this your first time attending USAC?*
- Yes
- No
Are you a USAC Graduate?*
- Yes
- No
Are scheduled to graduate this year?*
- Yes
- No
Total
$0.00

USAC 2018 – Registration