Small Groups - Spring 2018
Please complete this form to register for the next session of Small Groups
Wednesdays beginning April 25th
There is a $5 cost per adult or youth participant. This will help offset the cost of participant journals.
There is no fee for children or nursery care.
Name
*
Phone Number
*
Please list ALL individuals that will attend Wednesday nights.
A group membership must be selected for every individual that will attend.
Nursery (birth to 20Mo)
Kids (Preschool to 6th)
Youth (Middle/High School)
Adults
Participant #1
*
Participant #1 Member of:
*
Nursery
Kids
Youth (Add $5.00)
Adults (Add $5.00)
Participant #2
Participant #2 Member of:
Nursery
Kids
Youth (Add $5.00)
Adults (Add $5.00)
Participant #3
Participant #3 member of:
Nursery
Kids
Youth (Add $5.00)
Adults (Add $5.00)
Participant #4
Participant #4 member of:
Nursery
Kids
Youth (Add $5.00)
Adults (Add $5.00)
Participant #5
Participant #5 member of:
Nursery
Kids
Youth (Add $5.00)
Adults (Add $5.00)
Participant #6
Participant #6 member of:
Nursery
Kids
Youth (Add $5.00)
Adults (Add $5.00)
Your Email Address
*
Total
$
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