Online Registration

Register for one of our upcoming events using the form below. If you have any questions, please call 281-894-SBCC (7222).

First Name:
Last Name:
Spouse’s First Name:
Spouse’s Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Alternate Phone:
E-mail Address:
I am registering for:
Event:
Please Note: Some conferences require a deposit; send a check to Shield-Bearer Counseling Centers 12345 Jones Rd., STE 285 Houston, TX 77070 or make a secure deposit online here.
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