Alive & Well · IEL 2305 1pm Course

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Immanuel Encounter Lifestyle Course Registration

This training course will run for 7 weeks

Thursdays, May 4 - June 15, 2023

1- 2:30pm Central Time Course

Alive & Well Staff Only

Immanuel Encounter Lifestyle Registration Fee

$150

Urbana Contact Course Fee

$50

Married Couples Course Fee

$100

If registering as a married couple, name of spouse. (Spouse must register separately.)

Contact Information

Name (one registrant per form)

First Name

Last Name

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Course Time

I understand that I am signing up for the 1pm Central Course

Yes