Woman’s Life Registration 2016-17
 
Woman’s Life Registration 2016-17
Name  * 
Mailing Address  * 
City  * 
State  * 
Zip  * 
Phone
Your Email Address  * 
Birthdate
Anniversary
Church Home
I will be attending the (select one) - if choosing nighttime session, you may leave the rest of the form blank.  * 
Because our Kids Life program is run by volunteers we ask that every woman serve twice in the program. Please choose the two dates you are willing to help
First Date  * 
Second Date  * 
Please list your children who will be attending with you, birth thru 12th grade. All students 9-12th must be attending class or volunteering. If volunteering they must see Evelyn Owens. There is a one-time flat fee for K-8th grade of $5/child or maximum of $10/family. Please select choice of class for both morning session 1 (9:45) and morning session 2 (11:00) PLEAse note k-1st grade will have regular classroom time and activities. Both sessions in room C114. High School Girls: Attend Woman's Life and special small group for teens. High School Boys: Bible and Breakfast with Pastor Drew. Room TBD.
First Child’s Name
Date of Birth
Grade
Gender
Special Needs/Allergies?
Session One - 9:45 a.m.
Session Two - 11:00 a.m.
Second Child’s Name
Date of Birth
Grade
Gender
Special Needs/Allergies?
Session One - 9:45 a.m.
Session Two - 11:00 a.m.
Third Child’s Name
Date of Birth
Grade
Gender
Special Needs/Allergies?
Session One - 9:45 a.m.
Session Two - 11:00 a.m.
Fourth Child’s Name
Date of Birth
Grade
Gender
Special Needs/Allergies?
Session One - 9:45 a.m.
Second Session - 11:00 a.m.
Fifth Child’s Name
Date of Birth
Grade
Gender
Special Needs/Allergies?
Session One - 9:45 a.m.
Session Two - 11:00 a.m.
Total $
 
 
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