Alpha Registration Form

Alpha Registration Form

Fill out the form carefully for registration.
October 7 - November 25 (8 Weeks) | Monday nights 6pm | 674 Peace Portal Dr, Blaine WA

In a world of isolation, anonymity, and keyboard-warriors, Alpha offers content and guidance for churches, ministries, and individuals to create a space for honest and open conversations about life’s biggest questions. Everyone is welcome and no questions are off limits. Course is 8 weeks.
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Family Members to attend: Please include children that you may need childcare for during the course. We will do our best to accommodate childcare needs. *

	Name	Age	Food Allergy	Medical Need
Family Member 1
Family Member 2
Family Member 3
Family Member 4
Family Member 5
Family Member 6

Additional Comments
Should be Empty: