S E P T . 1 0 T H - O C T . 1 5 T H

Name

First Name

Last Name

Phone

(###)

###

####

Would you require childcare to be able to attend?

Childcare offered will be for ages 1 through 4th grade. We recommend infants and kids older than 4th grade staying with a parent during bible study.

If you are unable to find outside childcare, please list the name(s) and age(s) of the children.

Would you be able to volunteer to help with childcare one Wednesday out of this semester?

You would be assisting our childcare worker only once.

How will you pay?

$10 registration fee pays for your workbook.

I will pay in person.

I will pay online.