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

Thursday Morning Studies

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

September 27, 2018 to May 2, 2019

Opening Your Heart is Recommended for new participants.  Order your book here.
Fearless and Free provides healing and wholeness through scripture.  Order your book here.

Thursday Evening Study

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

September 27, 2018 to May 2, 2019

Fearless and Free provides healing and wholeness through scripture.  Order your book here.

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

Please indicate below the session you will be attending:

Childcare

Little Flower's Childcare is offered for the morning and evening sessions. 

Please indicate below which session your child(ren) will attend:

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.