EmailMeForm
Welcome to Covenant Class
Registration Form
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Please indicate for which class your are registering.
*
Jan 29-30, 2021 (Friday evening, Saturday morning)
Sunday Mornings (11 weeks) not scheduled at this time
Complete Name:
First
Middle
Last
Name you go by:
Marital Status:
Birth date:
MM
/
DD
/
YYYY
Address:
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Cell Phone:
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Home Phone:
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Email:
I am originally from:
Hobbies and Interests:
Occupation:
Work Phone:
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Employer:
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