SBC of Virginia - Acceptiva

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for registering for Disaster Relief Training online.

Additional information will be sent to you from SBCV concerning your background check and photo ID.

Welcome to the DR Team!

Registration

Full Disaster Relief Credentialing

$35.00

Disaster Relief Re-Credentialing

$20.00

Total: $0.00

Personal Information

First Name: *

Middle Name: *

Last Name: *

Preferred Name:

Gender: *

Date of Birth: *

Next of Kin/Beneficiary:

T-shirt size: *

Are you a member of an SBCV Church? *

If not sure, then follow the link below, to see if your church is listed as one of our partners. https://www.sbcv.org/churches/ Everyone is welcome but only SBCV Church members are able to deploy.

Member of What Church *

Church City: *

Church State: *

-- Select An Option --

I give permission to receive callouts by text *

I commit to living a Christian Lifestyle *

I commit to living a Christian Lifestyle especially when responding with Disaster Relief

I commit to doctrinal agreement *

I commit to doctrinal agreement to the Baptist Faith and Message 2000 especially during a Disaster Relief Response

Why do you desire to take this training? *

Billing Information

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Cell Phone: *

E-mail: *

A receipt will be e-mailed to this address.

Payment Information

Name on Card:

Card Number:

Security Code:

Expiration Date: