Family Dedication WINTER

Please watch the class prep video prior to completing your registration. https://player.vimeo.com/video/199173198

Please fill in your information on the form below. BE SURE TO HAVE THE SECOND PARENT REGISTER AS WELL, IF APPLICABLE. The information for your child(ren) will be completed on the next form.

Based on your answers below, the Marriage and Parenting pastor may reach out to you to schedule a meeting to discuss how this Family Dedication experience will best serve you and your family.

* Parent/Guardian First Name

* Parent/Guardian Last Name

* Parent/Guardian Email

* Parent/Guardian Address

Parent/Guardian Address 2 (Apt/Suite # etc.)

* Parent/Guardian City

* Parent/Guardian State/Province

* Parent/Guardian Zip/Postal Code

* Parent/Guardian Mobile Phone

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* How many people will be attending?

* Please list the name of your small group or connection community leader(s)

* Describe when and how you began your spiritual journey with God.

* I hereby understand and consent to each of the following:

* By entering your full name, you agree to the information above and you agree that all information provided on this registration is true and accurate to the best of your knowledge.

* Today's date

Second Parent

- Please be sure to register the second parent, if applicable, by selecting "Add Another Parent/Guardian" below

Second Parent

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