Women's Evening Bible Study - Online Registration

Welcome to Women's Evening Bible Study. To register for our winter program, please fill out the information below. Study guides will be available for purchase on our first night, Wednesday, January 9th. See you then!



IMPORTANT: DO NOT USE THE "ENTER" KEY TO MOVE FROM FIELD TO FIELD, USE YOUR MOUSE OR THE "TAB" KEY. Pressing "ENTER" will submit the form. (If you forget and hit "Enter" too soon, don't worry about it! Just resend, no problem.)

Click "Submit" when you are done. You will receive a confirmation email within a day or two.

First Name:
Last Name
Street Address:
City: Zip Code:
Home Phone :
Cell Phone:
Email Address:

Are you new to EBS?

      

Age Group



Birthday (optional) (Month/Day)
Marital Status
Bible Knowledge

       

Previous Bible Study?

      

Bible Teaching Experience?       
Church Attending Member?
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Childcare Registration: Please fill in the info below for each child that you would like to register to attend the Bible Playhouse program while you are in Focused Living:
Child #1 Name:
Birthdate :
Allergies/Special Concerns:
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Child #2 Name:
Birthdate :
Allergies/Special Concerns:
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Child #3 Name:
Birthdate :
Allergies/Special Concerns:
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Other Questions or Comments:
 












Barb Miller is the Coordinator of Women's Evening Bible Study