You are now registering for DMS Jakarta. Registration Type * Full, one-time cash registration payment of IDR 125,000 I have written eligibility for partial payment from a DMS Mentor Name * First Name Last Name Gender * Female Male Contact Number * Email * Date of Birth * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Your Local Church * Your Relationship Status * Single Married How did you find out about DMS? * If you're under 18 years old Guardian Name Guardian Contact Number Guardian Email Student Declaration By signing up for Discipleship Ministry School (DMS), I agree to attend all DMS sessions to the best of my ability; I agree to actively participate in my small group to the best of my ability; I agree that it would be beneficial to my spiritual growth to be involved in my local church; I agree to abide by the rules and decisions of the appointed DMS Leaders, and I understand that my failure to follow directives from such leaders could result in not participating in all activities or suspension/termination from the school; I declare that all the information I have given on this application form is true and correct to the best of my understanding and have not withheld any information that could affect my time at DMS; I acknowledge that DMS fees are non-refundable; I hereby release and hold harmless Melbourne Life Christian Church, Bali Life Christian Church, Jakarta Life Christian Chrurch, its agents, employees, and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss, which may be sustained by me/us during my/our attendance at, or involvement with, activities/meetings and in the course of participation with DMS. Thank you for registering for DMS Jakarta
