Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone *

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###

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If you are also registering other family members, please select & follow the prompts

Spouse

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Please check the following that apply:

We will be offering a Sunday night (6:30pm) alternative for any volunteers or people who have extenuating circumstances that prevent their participation in the Wednesday Adult Formation Disciple Groups... to help us plan accordingly - check the boxes that apply to you...

I plan to volunteer in the Wednesday Kids Ministry and I would like to attend Sunday evening Disciple Groups.

I would like to ATTEND the first 4 (September) sessions & SERVE in Kids Min the final 4 (October) sessions.

I would like to SERVE in Kids Min the first 4 (September) sessions & ATTEND the final 4 (October) sessions.