Saturday, July 31, 2010
Meet Exceptional People in an Extraordinary Place
Required *
*
First Name:
*
Last Name:
*
Address:
*
City:
*
State:
*
Home Phone:
*
Alt. Phone:
*
Email Address:
*
Gender:
Male
Female
*
Age Group:
18-25
26-35
36-45
46-55
56-65
66+
*
Marital Status:
Single
Married
First Course Selection (
please select one
)
FREE THE DANCER IN YOU
CROCHET AND QUILTING FELLOWSHIP
Child Care will be provided @ $5 per child per session ( for children 3 years and older )
Will you need child care?
Yes
No
If yes, how many children?
*
How did you hear about the Live & Learn Series?
(Check all that apply)
Email from the WVUMC Action Express
Word of Mouth
Ministry Bulletin
Church KBTV Pronouncement
Other
Course Offerings
Registration
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