Adult Bible Study Registration Form


Please fill out the following form to register for Disciple Classes. After filling out the form completely, the results will be emailed to the administrator and you will be contacted. Thank you.

Please provide the following contact information:

Name 
                
                Street Address 
                
                Address (cont.) 
                
                City 
                
                State/Province 
                
                Zip/Postal Code 
                
                Country 
                
                Home Phone 
                
            E-mail 

What Disciple/ Christian Believer classes have you taken?


Please, check the class for which you are registering. In order to provide the best learning environment, these classes have to meet the following criterion: 
Min. enrollment: 6,  Max for Disciple 1 = 20, Max for Disciple 2 - 4, Jesus in the Gospels, Christian Believer = 16

            Morning Class Selection: (more to be added at a later date)

Disciple 4                  Other Suggestions  
        Monday 9:00 am
        Facilitated by:
        Gwen Black
        John Frederici

Evening Class Selection: (more to be added at a later date)
Disciple 1                    Other Suggestions  
       Sunday 6:00 pm               
       Facilitated by:                   
       Kathy Sanford    

            
Disciple 2                    
      Tuesday 6:30 pm
      Facilitated by:
      Karen Lippincott

Do you have any problems with stairs?


Do you need childcare? Please list the names and ages of children.


Is there any other information that would help us accommodate your participation and enjoyment of Adult Bible Study?