Neufeld Institute Campus - Student Course Enrollment

Student Registration Form

Welcome! You are enrolling for the Neufeld Institute course Making Sense of Discipline. Once we have processed your registration and payment, we will email your campus credentials and orienting information. This normally takes 1-2 business days.

Identifying Details:

Denotes Required Field

Please provide us with the following information:
First Name:		Last Name:
City:	Use the province/state and country selectors below for other information.	Email:
Country:		Province/State (if required)

Notes: Please include any special concerns and/or arrangements. If referred by a Neufeld Institute facilitator or faculty member, please include their name.

Total Payment Required:

Please note that payments are listed and charged as Canadian funds.

Total for the course		CAD$
Check the following if you would like to order a DVD, along with your enrollment:		+ CAD$
- CAD$
Final Total		CAD$

When you click the 'Submit' button below, you will be directed to the site, where you can complete the payment for your enrollment. Note that you do not need an account with them to use a credit card for your payment to us. Click on the Don't have a Paypal account? option once you get to the PayPal site.
If you would like to arrange a payment via a sponsoring agency instead of paying personally via PayPal, please check here .
You have elected to Pay via Sponsoring Agency. We will not ask for a payment at this time; however, note that your registration will not be processed until we have received payment from your sponsor.

Please put details of the sponsoring agency and contact information for the sponsoring agency in the note section above, and details of the arrangement that is in place.
For security reasons, please enter the pink code into the box at the right:
a4841

(Note that it can take a while for PayPal to respond - it can take as much as ten seconds, so please be patient.)

NEUFELD VIRTUAL CAMPUS - Continuing Education

What happens after you submit this form?

Identifying Details:

Total Payment Required: