Family Update Form

Registration Type*

ATI ID Code*

Father/Head of Household Name*

First	Last

Has your Occupation or Employer changed since your last re-enrollment?*

Yes
No

Occupation/Employer*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping Address*

Same as billing address
Different shipping address

Shipping Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone*

Work Phone

Cell Phone

Email*

Has there been any change in your marital status?*

Yes
No

If so, please explain*

Additional Family Members

Please enter the full names of all family members that are included in this re-enrollment. (In a later section you will specify any other people currently living in your house.)

Spouse's Name

First	Last	Birthdate	Spiritual Gift

Children

Please list all sons and daughters in your family. Please list children in age order.

Child info

Name	Birthdate	Status	Actions
			Edit Delete
There are no children.

Maximum number of children reached.

Please name anyone else living in your home

Please Select the Number of Students Receiving Wisdom Booklets*

Two copies of the Parent Guide Planners will be included with every Wisdom Booklet order.

How many sets of Wisdom Booklets do you need?*

What was the last Wisdom Booklet you received?

Subtotal

$0.00

Is your Shipping Address outside the U.S., Canada, or Mexico?*

ATI encourages international families, other than those living in Canada and Mexico, to use a State-side address for shipping of materials.

Yes
No

Shipping

$60.00

Agreement*

I agree to abide by the conditions of my original acceptance into the Advanced Training Institute program. I understand that payments made toward ATI Family Enrollment is based upon the number of children in our family and that the Wisdom Booklets are provided to us as part of our enrollment fee.

Amount We Are Sowing

All funds designated to this field are used toward the assisting of families who are under special financial strain. This provides you with the opportunity to experience the rewards of sowing and reaping that God promises: "He which soweth bountifully shall reap also bountifully" (II Corinthians 9:6), and "Give, and it shall be given unto you" (Luke 6:38).

Total

$0.00

Payment Options*

Pay by check
Pay by credit card

Mail checks to: ATI 1 Academy Blvd Big Sandy, TX 75755

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Additional Family Members

Children

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