Disciple Bible Study Registration
Name:
Address (street, city, state, and zip):
Home Phone Number:
Cell Phone Number:
Email:
Childcare: yes no
Children Names & Ages:
Are you: interested in more information on Disciple ready to register for Disciple unable to participate this year; keep me posted for other opportunities want to attend the August 30, 11:45 a.m. brief orientation session. want to attend the September 6, 11:45 a.m. brief orientation session.
Need financial assistance: yes no
Comments or questions:
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