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+
Childcare will be available for the Wednesday morning study only. Please fill out the section below to request it. Child Name Age Child Name Age Child Name Age Child Name Age Child Name Age
I am interested in the following Bible study for Fall 2010:
Monday: Living the Gospel in Relationships, 9:30-11:15 a.m.
Tuesday: Colossians & Philemon, 12-1 p.m.
Wednesday: II and III John, 9:30-11:15 a.m. (childcare available)
Thursday: Kings & Prophets Series, 9:30-11:30 a.m.
Submit completed registration form. You will be directed to a page where you can pay the registration fee, book cost and/or childcare fee by credit card.
