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AGAPE LEADERS INSTITUTE - PREMIER DEBATE INSTITUTE

Got Questions? Call us at 646-883-0123

    REGISTRATION FORM - ONLINE DEBATE PROGRAM


    1. Student Information




    2. Contact Information


    3. Online Debate Program Schedule


    4. Payment Information
    All payments are Non-Refundable. Credit will be provided up to 1 year from the date of the event.                                               


    Option 1: Pay By Credit Card
    Please fill out the credit card information below:
    3 digits on the back or 4 digits in the front for AMEX

    Option 2: Pay By Check
    If you are paying by check, please make the check payable to "AGAPE"

    Address:
    1333A North Ave, Suite #534 
    New Rochelle, NY 10804

    By submitting this registration form, I hereby give permission for my child to participate in the above indicated program. I am also indicating my agreement to all terms and conditions of enrollment listed on this website, in particular, that tuition deposits and payments are non-refundable. 
REGISTER
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