REGISTER

Thank you for your interest in our New Members Class!

Name (First Adult) *

Name (First Adult)

First Name

Last Name

Street Address (Address, City, ZIP) *

Email Address *

Phone *

Phone

(###)

###

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Name (Second Adult)

First Name

Last Name

Email Address

Phone 1

(###)

###

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Food Allergies or Requests

Questions?

CHILDREN

Please let us know below if you would like to bring any children with you - either children who would like to attend the class and join the church as members professing belief in Christ, or children whom you would like to come with you to be cared for in provided childcare.

Children to Attend Class (please list names/ages)

Children Needing Childcare (please list names/ages

REGISTER

MORNING WORSHIP

10:30 A.M.

EVENING WORSHIP

6:00 P.M.

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