Please note:

  • Your payment of R200 along with your application form secures your place on the course.
    The cost is a contribution towards catering, and helps cover some of the running costs – we do not charge for ministry.
  • Please email your proof of payment to info@wholenessthroughchrist.org.za

Full Name:

Address:

Email:

Contact number:

Date of birth:

Occupation:

How did you hear about Wholeness Through Christ?

CHURCH: Which church do you attend regularly?

HEALTH: Please give brief details of current medication and reasons for use:

GENERAL: Please add any other general points you feel would be helpful: