REGISTRANT INFORMATION:
Name
Address
City, State, Zip
Daytime Phone
Evening Phone
Email
For placement assistance:
I am married single
Age: 20-29 30-39 40-49 50-59 60
I am interested in the following Bible study for Spring 2012:
Mondays Transforming Grace - 9:30-11:30 a.m.
Thursdays His Hope: The Anchor for our Souls - 9:30-11:30 a.m.
Submit completed registration form. You will be directed to a page where you can pay the registration fee by credit card.
