Sermons     Event Calendar     Search     Home  

 
Marriage and Family Ministries

REGISTRATION FOR 10 GREAT DATES

Please fill out this form, then you will directed to pay online.

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.

Thanks!

First & Last Name
First & Last Name
Street Address
City Zip Code
Home Phone
Cell Phone
Email Address
Wedding Date
---------------------------------------------------------------------------
 
Children's Program Registration--$30 per child
We'll have FUNtastic Fridays during the entire 10 Great Dates Program for children entering 1st-5th grades only. If you have children younger than first grade, we'll have childcare vouchers available to help decrease your costs. Vouchers will be availalbe each week during the entire 10 week program.
Child #1 Name: Gender M/F
Birthdate : Age Grade in Fall:
---------------------------------------------------------------------------
Child # 2 Name: Gender M/F
Birthdate : Age Grade in Fall:
---------------------------------------------------------------------------
Child #3 Name: Gender M/F
Birthdate : Age Grade in Fall:
---------------------------------------------------------------------------
Child #4 Name: Gender M/F
Birthdate : Age Grade in Fall:
Dates my children will be participating
June 20
-------------------------------------------------------------------------
   
Questions or Comments:
 











Back to top >