Walking With Purpose Registration Form

Registration fee is $55 and includes all operating costs and supplies.  Please bring payment on opening day.

First Name
Last Name
Address
City
State
Zip Code
Home Phone
Cell Phone
Email Address
Date of Birth (to help us place you in a group)
Emergency Contact Name
Emergency Contact Phone Number
Special Requests:

Thursday Morning Studies

meet from 9:30-11:15 a.m.

September 21, 2017 to April 26, 2018

Opening Your Heart is Recommended for new participants.
Discovering Our Dignity gives us modern-day advice from women of the Bible.

Thursday Evening Study

meets from 7:00-8:30 p.m.

September 28, 2017 to April 26, 2018

Beholding His Glory shows us how all Scripture points us to our Redeemer, Jesus Christ.

~ Order your study book on line at www.WalkingwithPurpose.com ~

Please indicate below the session you will be attending:

Childcare

Little Flower's Childcare was offered for the morning session. It is now FULL for 2017-2018.

Child's Full Name
Child's Date of Birth
Allergies or Special Concerns?
Child #2 Full Name
Child #2 Date of Birth
Allergies or Special Concerns?
Child's Full Name
Child's Date of Birth
Allergies or Special Concerns?
Child #2 Full Name
Child #2 Date of Birth
Allergies or Special Concerns?

After you hit the submit tab, please be patient and wait for the "Thank You".  It may appear to be frozen, but it takes a few minutes to process.