Reveille United Methodist Church
Thursday, February 23, 2012

Adult Studies

Please complete an individual registration for each person. If you would like to be seated with another person, please indicate their name(s) where indicated. Those individuals must also complete a registration form.
 
Register me for this class: 
 First (Preferred) Name:
Last Name:
Address:
City:
State:
Zip:
Home#:
Mobile#:
Email:
 
I prefer to be in small groups with people of similar age and in a similar state of life: Yes  No 
 
If there is someone you would like in your group, please list here:
   
Please indicate your age range:
                   
Gender: M  F 
                        
 Marital Status:
 
Do you have children? Yes  No 
            
Do you need child care? Yes  No 
 
Age of children:(Select all that apply.)
 
 
Names and ages of children needing child care:
 
How long have you attended Reveille?
 
What Christian experiences have you had? (Select all that apply.)